NICHOLAS R EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225253

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

EVANS

Business Name

NICHOLAS R EVANS

Original Issue Date

05/20/2014

Effective Date

03/28/2016

Expiration Date

03/31/2017

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/10/2017