KIMBERLY ANN NILES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249759

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

NILES

Business Name

KIMBERLY ANN NILES

Original Issue Date

04/10/2017

Effective Date

02/27/2019

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/08/2021