EDMOND L NISKALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167656

License Status

NOT RENEWED

Business

First Name

EDMOND

Middle

Last Name

NISKALA

Business Name

EDMOND L NISKALA

Original Issue Date

04/11/2006

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015