NICOLE MICHELLE TUCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119965

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MICHELLE

Last Name

TUCKER

Business Name

NICOLE MICHELLE TUCKER

Original Issue Date

02/02/1998

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Ever Disciplined

LastModifiedDate

05/07/2012