NICKULETTA M FORD - Pharmacist License in Illinois | # 049160851

NICKULETTA M FORD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160851

License Status

NOT RENEWED

Business

N

First Name

NICKULETTA

Middle

M

Last Name

FORD

Business Name

NICKULETTA M FORD

Original Issue Date

05/06/2005

Effective Date

05/06/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006