NICHOLAS WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182081

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Last Name

WALLER

Prefix

Business Name

NICHOLAS WALLER

Original Issue Date

02/07/2008

Effective Date

04/01/2010

Expiration Date

03/31/2011

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/12/2011