NICHOLAS SUPER - Pharmacist License in Illinois | # 049148241

NICHOLAS SUPER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148241

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Last Name

SUPER

Business Name

NICHOLAS SUPER

Original Issue Date

04/18/2003

Effective Date

01/12/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010