NICOLE L HERGENROEDER - Pharmacist License in Illinois | # 049174725

NICOLE L HERGENROEDER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174725

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

L

Last Name

HERGENROEDER

Business Name

NICOLE L HERGENROEDER

Original Issue Date

03/08/2007

Effective Date

03/08/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008