NICOLE M DODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193838

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

DODGE

Prefix

Business Name

NICOLE M DODGE

Original Issue Date

08/24/2009

Effective Date

09/07/2011

Expiration Date

03/31/2012

City

MCHENRY

State

Zip

60051

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/07/2012