NAKISIA S TUCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203069

License Status

NOT RENEWED

Business

First Name

NAKISIA

Middle

Last Name

TUCKER

Business Name

NAKISIA S TUCKER

Original Issue Date

03/07/2011

Effective Date

03/07/2011

Expiration Date

03/31/2012

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012