ADAM H NIEDERKOHR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109596

License Status

NOT RENEWED

Business

First Name

ADAM H

Last Name

NIEDERKOHR

Business Name

ADAM H NIEDERKOHR

Original Issue Date

02/23/1995

Effective Date

02/23/1995

Expiration Date

03/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005