NICOLE M GROSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223066

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

GROSSMAN

Business Name

NICOLE M GROSSMAN

Original Issue Date

01/22/2014

Effective Date

02/16/2021

Expiration Date

05/31/2022

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2022