NICOLE LAFORTEZA ANDRES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143329

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LAFORTEZA

Last Name

ANDRES

Business Name

NICOLE LAFORTEZA ANDRES

Original Issue Date

06/25/2002

Effective Date

02/25/2013

Expiration Date

03/31/2014

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014