NICHOLAS EBEN VAN PATTEN - Pharmacist License in Illinois | # 049124004

NICHOLAS EBEN VAN PATTEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124004

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005