NICOLE M SHOUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221845

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SHOUSE

Business Name

NICOLE M SHOUSE

Original Issue Date

11/08/2013

Effective Date

01/22/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60634

Ever Disciplined

LastModifiedDate

01/08/2021