GLEN PAUL NIELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170845

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

PAUL

Last Name

NIELSEN

Business Name

GLEN PAUL NIELSEN

Original Issue Date

08/25/2006

Effective Date

02/11/2009

Expiration Date

03/31/2010

City

MEDINAH

State

Zip

60157

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010