Nicole Dawn Short
ExpiredIllinois license 049116147
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049116147
- Status
- Expired (Not Renewed)
- First issued
- December 9, 1996
- Expired
- March 31, 2001
- License holder
- Nicole Dawn Short
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/09/1996
Contact
Charleston, IL 61920
Coles County