NICOLE M KWAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173586

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

KWAK

Business Name

NICOLE M KWAK

Original Issue Date

01/11/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009