NATHANIEL ALEX BEASLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125326

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

ALEX

Last Name

BEASLEY

Business Name

NATHANIEL ALEX BEASLEY

Original Issue Date

04/07/1999

Effective Date

03/16/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010