NICOLE TRALICIA BETHEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149218

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

TRALICIA

Last Name

BETHEL

Business Name

NICOLE TRALICIA BETHEL

Original Issue Date

06/24/2003

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013