NICKULETTA M FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160851

License Status

NOT RENEWED

Business

First Name

NICKULETTA

Middle

Last Name

FORD

Business Name

NICKULETTA M FORD

Original Issue Date

05/06/2005

Effective Date

05/06/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006