NICHOLAS A WIRTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194213

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

WIRTH

Prefix

Business Name

NICHOLAS A WIRTH

Original Issue Date

09/14/2009

Effective Date

09/14/2009

Expiration Date

03/31/2010

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010