NICOLE MARIE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165189

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

DAVIS

Business Name

NICOLE MARIE DAVIS

Original Issue Date

11/23/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/06/2009