NICK T LEEVATHANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173987

License Status

NOT RENEWED

Business

First Name

NICK

Middle

Last Name

LEEVATHANA

Business Name

NICK T LEEVATHANA

Original Issue Date

01/29/2007

Effective Date

01/29/2007

Expiration Date

03/31/2008

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008