NICHOL B LADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220710

License Status

NOT RENEWED

Business

First Name

NICHOL

Middle

Last Name

LADE

Business Name

NICHOL B LADE

Original Issue Date

09/11/2013

Effective Date

09/11/2013

Expiration Date

03/31/2014

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2014