NICHOLAS B ERTSGAARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215226

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

ERTSGAARD

Business Name

NICHOLAS B ERTSGAARD

Original Issue Date

12/31/2012

Effective Date

03/20/2013

Expiration Date

03/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2014