NICOLE D DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104924

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

DAVIS

Business Name

NICOLE D DAVIS

Original Issue Date

10/19/1993

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009