NICHOLAS J MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166760

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

MARTIN

Business Name

NICHOLAS J MARTIN

Original Issue Date

03/14/2006

Effective Date

03/14/2006

Expiration Date

03/31/2007

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007