NICHOLAS RYAN BREGENZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150689

License Status

NOT RENEWED

Business

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

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005