NELSON MARTIN MACWAN Pharmacist License verification

NELSON MARTIN MACWAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100306

License Status

NOT RENEWED

Business

First Name

NELSON MARTIN

Last Name

MACWAN

Business Name

NELSON MARTIN MACWAN

Original Issue Date

06/05/1992

Effective Date

06/05/1992

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1998016962

Action

Revocation

Discipline Start Date

06/15/1999

Discipline Reason

Convicted of knowingly delivering a substance containing a controlled substance, specifically hydrocodone, and convicted of controlled substance trafficking.