NICHOLAS A WIRTH - Pharmacist License in Illinois | # 049194213

NICHOLAS A WIRTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194213

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

A

Last Name

WIRTH

Prefix

MR

Business Name

NICHOLAS A WIRTH

Original Issue Date

09/14/2009

Effective Date

09/14/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010