NICOLE ELIZABETH HENRICKSEN - Pharmacist License in Illinois | # 049218936

NICOLE ELIZABETH HENRICKSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218936

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

ELIZABETH

Last Name

HENRICKSEN

Prefix

MR

Business Name

NICOLE ELIZABETH HENRICKSEN

Original Issue Date

06/22/2013

Effective Date

02/25/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022