NICOLE MELISSA BAQUET - Pharmacist License in Illinois | # 049130861

NICOLE MELISSA BAQUET

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130861

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

MELISSA

Last Name

BAQUET

Business Name

NICOLE MELISSA BAQUET

Original Issue Date

05/18/2000

Effective Date

05/18/2000

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005