NICOLE M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150273

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SMITH

Business Name

NICOLE M SMITH

Original Issue Date

08/22/2003

Effective Date

08/22/2003

Expiration Date

03/31/2006

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006