NICHOLAS M TABOR III Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066665

License Status

CANCELLED

Business

First Name

NICHOLAS M

Last Name

TABOR III

Business Name

NICHOLAS M TABOR III

Original Issue Date

01/14/1977

Effective Date

01/14/1977

Expiration Date

01/01/1997

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005