NICOLE D DAVIS - Pharmacist License in Illinois | # 049104924

NICOLE D DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104924

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

D

Last Name

DAVIS

Business Name

NICOLE D DAVIS

Original Issue Date

10/19/1993

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009