JOHN EMMANUEL NISSAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189440

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

EMMANUEL

Last Name

NISSAN

Prefix

Business Name

JOHN EMMANUEL NISSAN

Original Issue Date

02/03/2009

Effective Date

03/01/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018