NICOLE MARIE GORHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120165

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

GORHAM

Business Name

NICOLE MARIE GORHAM

Original Issue Date

02/27/1998

Effective Date

02/27/1998

Expiration Date

03/31/2002

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

12/06/2005