NICHOL MARIE FUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143005

License Status

NOT RENEWED

Business

First Name

NICHOL

Middle

MARIE

Last Name

FUNK

Business Name

NICHOL MARIE FUNK

Original Issue Date

06/06/2002

Effective Date

06/06/2002

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005