TOM E NISSAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194470

License Status

NOT RENEWED

Business

First Name

TOM

Middle

Last Name

NISSAN

Prefix

Business Name

TOM E NISSAN

Original Issue Date

09/24/2009

Effective Date

02/02/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022