NICOLE DIANE JEURISSEN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240709

License Status

ACTIVE

Business

First Name

NICOLE

Middle

DIANE

Last Name

JEURISSEN

Business Name

NICOLE DIANE JEURISSEN

Original Issue Date

04/04/2016

Effective Date

03/25/2026

Expiration Date

03/31/2027

City

WHITE HEATH

State

Zip

61884

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/25/2026