NICOLE LEA BRUSICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141727

License Status

NOT RENEWED

Business

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

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005