NICOLE S BOSSONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218028

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BOSSONG

Business Name

NICOLE S BOSSONG

Original Issue Date

05/20/2013

Effective Date

05/20/2013

Expiration Date

03/31/2014

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2014