NICOLE LYNN HAVERLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266354

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

HAVERLAND

Business Name

NICOLE LYNN HAVERLAND

Original Issue Date

06/28/2019

Effective Date

06/28/2019

Expiration Date

09/30/2020

City

THOMASBORO

State

Zip

61878

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2021