NICOLE JEANNETTE KAZMIERCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133986

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

JEANNETTE

Last Name

KAZMIERCZAK

Business Name

NICOLE JEANNETTE KAZMIERCZAK

Original Issue Date

12/12/2000

Effective Date

03/27/2013

Expiration Date

03/31/2014

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014