NICOLE F SANDBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125912

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SANDBERG

Business Name

NICOLE F SANDBERG

Original Issue Date

05/14/1999

Effective Date

05/14/1999

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006