RALPH A NELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147649

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

NELSEN

Business Name

RALPH A NELSEN

Original Issue Date

03/27/2003

Effective Date

03/27/2003

Expiration Date

03/31/2006

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006