NICHOLAS J BERTELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201229

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

BERTELL

Prefix

Business Name

NICHOLAS J BERTELL

Original Issue Date

10/25/2010

Effective Date

04/01/2011

Expiration Date

03/31/2012

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012