NICOLE FOSTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121371

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

FOSTER

Business Name

NICOLE FOSTER

Original Issue Date

06/08/1998

Effective Date

04/19/2011

Expiration Date

03/31/2012

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012