NICOLE E LOMOTAN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176400

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

Last Name

LOMOTAN

Business Name

NICOLE E LOMOTAN MD

Original Issue Date

05/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009