NICOLE MARIE HOMB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164136

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

HOMB

Business Name

NICOLE MARIE HOMB

Original Issue Date

09/23/2005

Effective Date

09/23/2005

Expiration Date

03/31/2006

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

05/11/2006