NICOLE M BALLOU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210963

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BALLOU

Business Name

NICOLE M BALLOU

Original Issue Date

05/11/2012

Effective Date

02/18/2014

Expiration Date

03/31/2015

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/11/2015