DEBRA H NYDAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195295

License Status

NOT RENEWED

Business

First Name

DEBRA H

Last Name

NYDAM

Business Name

DEBRA H NYDAM

Original Issue Date

11/12/2009

Effective Date

02/18/2011

Expiration Date

03/31/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/07/2012