NIKITA SHAUNTE CROMWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117795

License Status

NOT RENEWED

Business

First Name

NIKITA

Middle

SHAUNTE

Last Name

CROMWELL

Business Name

NIKITA SHAUNTE CROMWELL

Original Issue Date

06/09/1997

Effective Date

06/09/1997

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005