NICHOLAS RYAN POTTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204708

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

RYAN

Last Name

POTTER

Business Name

NICHOLAS RYAN POTTER

Original Issue Date

06/09/2011

Effective Date

02/16/2016

Expiration Date

03/31/2017

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/10/2017