NICOLE P TREVINO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158317

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

TREVINO

Business Name

NICOLE P TREVINO

Original Issue Date

12/13/2004

Effective Date

12/13/2004

Expiration Date

03/31/2006

City

MEDINAH

State

Zip

60157

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006