NICHOLAS R MADISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161745

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

MADISON

Business Name

NICHOLAS R MADISON

Original Issue Date

06/17/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MAZON

State

Zip

60444

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/02/2008