NICOLE MARIE MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164336

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

MEDINA

Business Name

NICOLE MARIE MEDINA

Original Issue Date

10/03/2005

Effective Date

03/26/2009

Expiration Date

03/31/2010

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010