TAKETA NICOLE BILLUPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178185

License Status

NOT RENEWED

Business

First Name

TAKETA

Middle

NICOLE

Last Name

BILLUPS

Business Name

TAKETA NICOLE BILLUPS

Original Issue Date

08/01/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009