MARK A NIEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031720

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

NIEMAN

Business Name

MARK A NIEMAN

Original Issue Date

08/18/1977

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PHOENIX

State

Zip

85053

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/04/2010