NICOLE B ASAVALERTPANICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175460

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

ASAVALERTPANICH

Business Name

NICOLE B ASAVALERTPANICH

Original Issue Date

04/10/2007

Effective Date

02/08/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014