NICHOLAS LAWRENCE PATRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138918

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

LAWRENCE

Last Name

PATRICK

Business Name

NICHOLAS LAWRENCE PATRICK

Original Issue Date

10/31/2001

Effective Date

10/31/2001

Expiration Date

03/31/2003

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005