NICOLE E SMITAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118940

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SMITAL

Business Name

NICOLE E SMITAL

Original Issue Date

09/30/1997

Effective Date

09/30/1997

Expiration Date

03/31/1999

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/17/2005