NICHOLAS R AGNEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154450

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

AGNEW

Business Name

NICHOLAS R AGNEW

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2006

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/11/2006