NICHOLAS E LACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166793

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

LACK

Business Name

NICHOLAS E LACK

Original Issue Date

03/16/2006

Effective Date

03/16/2006

Expiration Date

03/31/2007

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

05/14/2007