NICOLE L MANIGLIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156314

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MANIGLIA

Business Name

NICOLE L MANIGLIA

Original Issue Date

07/29/2004

Effective Date

07/29/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005