NICOLE RENE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137395

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RENE

Last Name

ANDERSON

Business Name

NICOLE RENE ANDERSON

Original Issue Date

07/26/2001

Effective Date

07/26/2001

Expiration Date

03/31/2006

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007