NICHOLE A LYCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212872

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

Last Name

LYCZAK

Prefix

Business Name

NICHOLE A LYCZAK

Original Issue Date

08/15/2012

Effective Date

08/15/2012

Expiration Date

03/31/2013

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2013