NICOLE L DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168895

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

DAVIS

Business Name

NICOLE L DAVIS

Original Issue Date

05/24/2006

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011