NICOLE MARIE DINEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146253

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

DINEEN

Business Name

NICOLE MARIE DINEEN

Original Issue Date

12/06/2002

Effective Date

03/31/2011

Expiration Date

03/31/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012