GLEN A NIELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137715

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

Last Name

NIELSEN

Business Name

GLEN A NIELSEN

Original Issue Date

08/10/2001

Effective Date

02/02/2012

Expiration Date

03/31/2013

City

MEDINAH

State

Zip

60157

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013