NICOLE RENEE FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126295

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RENEE

Last Name

FORD

Business Name

NICOLE RENEE FORD

Original Issue Date

06/11/1999

Effective Date

06/11/1999

Expiration Date

03/31/2006

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006