KATY NICHOLE LILLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265904

License Status

NOT RENEWED

Business

First Name

KATY

Middle

NICHOLE

Last Name

LILLARD

Business Name

KATY NICHOLE LILLARD

Original Issue Date

06/10/2019

Effective Date

06/10/2019

Expiration Date

09/30/2020

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021