IDA NICOLE WILKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049304904

License Status

NOT RENEWED

Business

First Name

IDA

Middle

NICOLE

Last Name

WILKS

Business Name

IDA NICOLE WILKS

Original Issue Date

08/14/2023

Effective Date

08/14/2023

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2025