NICOLE LYNN FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132883

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

FORD

Business Name

NICOLE LYNN FORD

Original Issue Date

09/27/2000

Effective Date

09/27/2000

Expiration Date

03/31/2002

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

12/06/2005