NICOLE MARIE EBERSOLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116888

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

EBERSOLE

Business Name

NICOLE MARIE EBERSOLE

Original Issue Date

03/21/1997

Effective Date

02/01/2015

Expiration Date

03/31/2016

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/20/2016