NATHAN G SOUTHALL - Pharmacist License in Illinois | # 049057241

NATHAN G SOUTHALL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057241

License Status

NOT RENEWED

Business

N

First Name

NATHAN G

Last Name

SOUTHALL

Business Name

NATHAN G SOUTHALL

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005