NICOLE A BURDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153825

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BURDEN

Business Name

NICOLE A BURDEN

Original Issue Date

03/22/2004

Effective Date

03/22/2004

Expiration Date

03/31/2005

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005