NICHOLE ELIZABETH WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278358

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

ELIZABETH

Last Name

WILLIS

Business Name

NICHOLE ELIZABETH WILLIS

Original Issue Date

12/31/2020

Effective Date

12/31/2020

Expiration Date

03/31/2021

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021