NICOLE L ROMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167067

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

ROMAN

Business Name

NICOLE L ROMAN

Original Issue Date

03/28/2006

Effective Date

03/28/2006

Expiration Date

03/31/2007

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/14/2007