NICOLE S MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157547

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MOORE

Business Name

NICOLE S MOORE

Original Issue Date

10/21/2004

Effective Date

10/21/2004

Expiration Date

03/31/2006

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006