NICOLE AMY WADLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269726

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

AMY

Last Name

WADLEY

Business Name

NICOLE AMY WADLEY

Original Issue Date

12/06/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021