NICHOLAS JON VAN GOMPEL - Pharmacist License in Wisconsin | # 049171619

NICHOLAS JON VAN GOMPEL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171619

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

JON

Last Name

VAN GOMPEL

Business Name

NICHOLAS JON VAN GOMPEL

Original Issue Date

09/26/2006

Effective Date

02/03/2010

Expiration Date

03/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

05/12/2011