NICOLE RAE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049316779

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RAE

Last Name

MOORE

Business Name

NICOLE RAE MOORE

Original Issue Date

11/19/2024

Effective Date

11/19/2024

Expiration Date

03/31/2025

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

07/08/2025