NICOLE LEA BRUSICH - Pharmacist License in Illinois | # 049141727

NICOLE LEA BRUSICH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141727

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

LEA

Last Name

BRUSICH

Business Name

NICOLE LEA BRUSICH

Original Issue Date

04/09/2002

Effective Date

04/09/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005