TAWANNA LATOVA NICKELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149641

License Status

NOT RENEWED

Business

First Name

TAWANNA

Middle

LATOVA

Last Name

NICKELSON

Business Name

TAWANNA LATOVA NICKELSON

Original Issue Date

07/29/2003

Effective Date

07/29/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005