NICOLE L EWALD - Pharmacist License in Illinois | # 049220143

NICOLE L EWALD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220143

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

L

Last Name

EWALD

Prefix

MR

Business Name

NICOLE L EWALD

Original Issue Date

08/20/2013

Effective Date

01/23/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019