NICOLE T SALATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162911

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SALATA

Business Name

NICOLE T SALATA

Original Issue Date

08/11/2005

Effective Date

02/24/2010

Expiration Date

03/31/2011

City

LIBERTYVILLE

State

Zip

60048

Ever Disciplined

LastModifiedDate

05/12/2011