COREY STEPHEN NICHOLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172066

License Status

NOT RENEWED

Business

First Name

COREY

Middle

STEPHEN

Last Name

NICHOLAS

Business Name

COREY STEPHEN NICHOLAS

Original Issue Date

10/25/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009