NICOLE L HAZARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141935

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

HAZARA

Business Name

NICOLE L HAZARA

Original Issue Date

04/17/2002

Effective Date

04/17/2002

Expiration Date

03/31/2003

City

HAMMOND

State

Zip

43624

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005