NICHOLAS WAYNE VAN HISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181534

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

WAYNE

Last Name

VAN HISE

Business Name

NICHOLAS WAYNE VAN HISE

Original Issue Date

01/14/2008

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013