NICHOLAS D BRUBAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192042

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

BRUBAKER

Prefix

Business Name

NICHOLAS D BRUBAKER

Original Issue Date

05/31/2009

Effective Date

01/17/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014