NICOLE LANAE' AUSTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140847

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LANAE'

Last Name

AUSTIN

Business Name

NICOLE LANAE' AUSTIN

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005