NATHAN G SOUTHALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057241

License Status

NOT RENEWED

Business

First Name

NATHAN G

Last Name

SOUTHALL

Business Name

NATHAN G SOUTHALL

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005