NICHOLAS A CHAIDEZ - Pharmacist License in Illinois | # 049156814

NICHOLAS A CHAIDEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156814

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

A

Last Name

CHAIDEZ

Business Name

NICHOLAS A CHAIDEZ

Original Issue Date

08/20/2004

Effective Date

08/20/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006