NICOLE MARIE KOZIOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134693

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

KOZIOL

Business Name

NICOLE MARIE KOZIOL

Original Issue Date

02/22/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007