PHILIP EVERETT NIELSON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051306326

License Status

ACTIVE

Business

First Name

PHILIP

Middle

EVERETT

Last Name

NIELSON

Business Name

PHILIP EVERETT NIELSON

Original Issue Date

06/13/2024

Effective Date

03/05/2026

Expiration Date

03/31/2028

City

PEORIA

State

Zip

85382

Ever Disciplined

LastModifiedDate

03/05/2026