NICHOLETTE L DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267465

License Status

NOT RENEWED

Business

First Name

NICHOLETTE

Middle

Last Name

DAVIS

Business Name

NICHOLETTE L DAVIS

Original Issue Date

08/22/2019

Effective Date

03/15/2021

Expiration Date

05/31/2022

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022