NICOLE L STANDBERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154793

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

STANDBERRY

Business Name

NICOLE L STANDBERRY

Original Issue Date

06/02/2004

Effective Date

06/02/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005