NICOLE M DALTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121490

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

DALTON

Business Name

NICOLE M DALTON

Original Issue Date

06/12/1998

Effective Date

06/12/1998

Expiration Date

03/31/2002

City

CLINTON

State

Zip

61727

County

DE WITT

Ever Disciplined

LastModifiedDate

12/06/2005