NICHOLAS RYAN BREGENZER - Pharmacist License in Illinois | # 049150689

NICHOLAS RYAN BREGENZER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150689

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

RYAN

Last Name

BREGENZER

Business Name

NICHOLAS RYAN BREGENZER

Original Issue Date

09/22/2003

Effective Date

09/22/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005