TED H NISHIMURA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064984

License Status

CANCELLED

Business

First Name

TED H

Last Name

NISHIMURA

Business Name

TED H NISHIMURA

Original Issue Date

03/05/1976

Effective Date

03/05/1976

Expiration Date

01/01/1997

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005