NICOLE MARIE MASSE MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169824

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

MASSE

Business Name

NICOLE MARIE MASSE MD

Original Issue Date

07/07/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008