NICOLE LATRICE WICKLIFFE-GAINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168502

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LATRICE

Last Name

WICKLIFFE-GAINES

Business Name

NICOLE LATRICE WICKLIFFE-GAINES

Original Issue Date

05/09/2006

Effective Date

02/18/2011

Expiration Date

03/31/2012

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012