NICOLE L DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051294532

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

DAVIS

Business Name

NICOLE L DAVIS

Original Issue Date

08/27/2010

Effective Date

02/25/2014

Expiration Date

03/31/2016

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016