STACEY MARIE NILLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086548

License Status

NOT RENEWED

Business

First Name

STACEY MARIE

Last Name

NILLES

Business Name

STACEY MARIE NILLES

Original Issue Date

05/01/1988

Effective Date

05/01/1988

Expiration Date

03/31/1994

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005