NICOLE B BLAIR - Pharmacist License in Illinois | # 049152107

NICOLE B BLAIR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152107

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

B

Last Name

BLAIR

Business Name

NICOLE B BLAIR

Original Issue Date

11/06/2003

Effective Date

11/06/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005