NICOLE RENEE FORD - Pharmacist License in Illinois | # 049126295

NICOLE RENEE FORD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126295

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006