NICOLE N HAGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189239

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

HAGEN

Business Name

NICOLE N HAGEN

Original Issue Date

01/20/2009

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011