NICHOLAS SUPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148241

License Status

NOT RENEWED

Business

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

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010