NICOLAS J SALAZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162784

License Status

NOT RENEWED

Business

First Name

NICOLAS

Middle

Last Name

SALAZAR

Business Name

NICOLAS J SALAZAR

Original Issue Date

08/05/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009