NATHAN JOEL IBBOTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133616

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

JOEL

Last Name

IBBOTSON

Business Name

NATHAN JOEL IBBOTSON

Original Issue Date

11/15/2000

Effective Date

11/15/2000

Expiration Date

03/31/2004

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005