STEPHANIE NICOLE TUCKER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255859

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

NICOLE

Last Name

TUCKER

Business Name

STEPHANIE NICOLE TUCKER

Original Issue Date

01/30/2018

Effective Date

03/05/2019

Expiration Date

09/30/2020

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

01/04/2020