NICHOLAS EBEN VAN PATTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124004

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

EBEN

Last Name

VAN PATTEN

Business Name

NICHOLAS EBEN VAN PATTEN

Original Issue Date

12/02/1998

Effective Date

12/02/1998

Expiration Date

03/31/2001

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005