NICHOLAS SCOTT MUSCOLINO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159643

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

SCOTT

Last Name

MUSCOLINO

Business Name

NICHOLAS SCOTT MUSCOLINO

Original Issue Date

03/22/2005

Effective Date

03/12/2009

Expiration Date

03/31/2010

City

WILLOW SPRINGS

State

Zip

60480

Ever Disciplined

LastModifiedDate

05/04/2010