NICOLE C SWENSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166643

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SWENSON

Business Name

NICOLE C SWENSON

Original Issue Date

03/07/2006

Effective Date

04/19/2010

Expiration Date

03/31/2011

City

WASHINGTON

State

Zip

61571

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011