NICOLE S LILJA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217110

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

LILJA

Business Name

NICOLE S LILJA

Original Issue Date

04/02/2013

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

RIDOTT

State

Zip

61067

County

STEPHENSON

Ever Disciplined

LastModifiedDate

07/15/2019