NICOLE R BURLEYSON - Pharmacist License in Illinois | # 049123076

NICOLE R BURLEYSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123076

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

R

Last Name

BURLEYSON

Business Name

NICOLE R BURLEYSON

Original Issue Date

10/05/1998

Effective Date

10/05/1998

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005