NICHOLAS S SPODEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167936

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

SPODEN

Business Name

NICHOLAS S SPODEN

Original Issue Date

04/19/2006

Effective Date

04/19/2006

Expiration Date

03/31/2007

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007