NICOLE M WALSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154706

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WALSH

Business Name

NICOLE M WALSH

Original Issue Date

06/01/2004

Effective Date

06/01/2004

Expiration Date

03/31/2006

City

MANHATTAN

State

Zip

60442

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006