MEGAN L NYSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200751

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

NYSTROM

Business Name

MEGAN L NYSTROM

Original Issue Date

09/27/2010

Effective Date

09/27/2010

Expiration Date

03/31/2011

City

GILBERTS

State

Zip

60136

County

KANE

Ever Disciplined

LastModifiedDate

05/12/2011