DAVID ALEX NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157922

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALEX

Last Name

NELSON

Business Name

DAVID ALEX NELSON

Original Issue Date

11/18/2004

Effective Date

11/18/2004

Expiration Date

03/31/2006

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/11/2006