NICHELLE ETHERIDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117726

License Status

NOT RENEWED

Business

First Name

NICHELLE

Last Name

ETHERIDGE

Business Name

NICHELLE ETHERIDGE

Original Issue Date

05/28/1997

Effective Date

05/28/1997

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005