NICOLE A MIDDENDORFF - Pharmacist License in Illinois | # 049210470

NICOLE A MIDDENDORFF

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210470

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

A

Last Name

MIDDENDORFF

Business Name

NICOLE A MIDDENDORFF

Original Issue Date

04/20/2012

Effective Date

04/20/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013