NICOLE R MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239591

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MEDINA

Prefix

Business Name

NICOLE R MEDINA

Original Issue Date

02/18/2016

Effective Date

03/16/2017

Expiration Date

03/31/2018

City

ROMEOVILLE

State

Zip

60446

Ever Disciplined

LastModifiedDate

06/19/2018