NICOLE SOUTHEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263220

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

SOUTHEY

Business Name

NICOLE SOUTHEY

Original Issue Date

02/11/2019

Effective Date

02/11/2019

Expiration Date

09/30/2020

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2021