NICHOLAS DAVID ROTELLO - Pharmacist License in Washington | # 051026933

NICHOLAS DAVID ROTELLO

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026933

License Status

INACTIVE

Business

N

First Name

NICHOLAS

Middle

DAVID

Last Name

ROTELLO

Business Name

NICHOLAS DAVID ROTELLO

Original Issue Date

07/21/1966

Effective Date

03/31/2004

Expiration Date

03/31/2006

State

WA

Ever Disciplined

N

LastModifiedDate

01/18/2006