NAKITA FALLON QUALLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283554

License Status

NOT RENEWED

Business

First Name

NAKITA

Middle

FALLON

Last Name

QUALLS

Business Name

NAKITA FALLON QUALLS

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

05/31/2022

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022