TAYLOR NICOLE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257246

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

NICOLE

Last Name

MARTIN

Business Name

TAYLOR NICOLE MARTIN

Original Issue Date

04/04/2018

Effective Date

02/05/2019

Expiration Date

09/30/2020

City

OAKWOOD

State

Zip

61858

County

VERMILION

Ever Disciplined

LastModifiedDate

01/08/2021