NICHOLUS ADAM MARX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140716

License Status

NOT RENEWED

Business

First Name

NICHOLUS

Middle

ADAM

Last Name

MARX

Business Name

NICHOLUS ADAM MARX

Original Issue Date

02/19/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008