JOHN T NIELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100124

License Status

NOT RENEWED

Business

First Name

JOHN T

Last Name

NIELSEN

Business Name

JOHN T NIELSEN

Original Issue Date

05/11/1992

Effective Date

05/11/1992

Expiration Date

03/31/1993

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005