NICOLE MARIE CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139979

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

CARLSON

Business Name

NICOLE MARIE CARLSON

Original Issue Date

01/15/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007