NICKE ANTONIA STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123080

License Status

NOT RENEWED

Business

First Name

NICKE

Middle

ANTONIA

Last Name

STEPHENS

Business Name

NICKE ANTONIA STEPHENS

Original Issue Date

10/05/1998

Effective Date

03/09/2012

Expiration Date

03/31/2013

City

CREST HILL

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2013