NICOLE M BURG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158357

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

BURG

Business Name

NICOLE M BURG

Original Issue Date

12/15/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008