NICOLE L HARTLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154477

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

HARTLEY

Business Name

NICOLE L HARTLEY

Original Issue Date

05/21/2004

Effective Date

03/28/2014

Expiration Date

03/31/2015

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015