NICOLE DELANEY WALLER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049303827

License Status

ACTIVE

Business

First Name

NICOLE

Middle

DELANEY

Last Name

WALLER

Business Name

NICOLE DELANEY WALLER

Original Issue Date

07/07/2023

Effective Date

02/25/2025

Expiration Date

03/31/2026

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/30/2026