NADINE H MICEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154920

License Status

NOT RENEWED

Business

First Name

NADINE

Middle

Last Name

MICEK

Business Name

NADINE H MICEK

Original Issue Date

06/10/2004

Effective Date

04/01/2016

Expiration Date

03/31/2017

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017