NICOLE B ZYBAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149501

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

ZYBAK

Business Name

NICOLE B ZYBAK

Original Issue Date

07/15/2003

Effective Date

07/15/2003

Expiration Date

03/31/2004

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005