KRYSTLE A NICOLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164937

License Status

NOT RENEWED

Business

First Name

KRYSTLE

Middle

Last Name

NICOLAS

Business Name

KRYSTLE A NICOLAS

Original Issue Date

11/14/2005

Effective Date

11/14/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2007