NICHOLAS A CHAIDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156814

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

CHAIDEZ

Business Name

NICHOLAS A CHAIDEZ

Original Issue Date

08/20/2004

Effective Date

08/20/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006