NICOLE M DEAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158021

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

DEAN

Business Name

NICOLE M DEAN

Original Issue Date

11/29/2004

Effective Date

07/10/2017

Expiration Date

03/31/2018

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Ever Disciplined

LastModifiedDate

06/19/2018