NIKI L CAMPEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115167

License Status

NOT RENEWED

Business

First Name

NIKI L

Last Name

CAMPEN

Business Name

NIKI L CAMPEN

Original Issue Date

09/04/1996

Effective Date

09/04/1996

Expiration Date

03/31/1997

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005