NICOLE L TILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134203

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

TILLIS

Business Name

NICOLE L TILLIS

Original Issue Date

12/21/2000

Effective Date

12/21/2000

Expiration Date

03/31/2002

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005