NICHOLAS R MADISON - Pharmacist License in Illinois | # 049161745

NICHOLAS R MADISON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161745

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

R

Last Name

MADISON

Business Name

NICHOLAS R MADISON

Original Issue Date

06/17/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008