NICHOLAS R HARVENGT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225515

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

HARVENGT

Business Name

NICHOLAS R HARVENGT

Original Issue Date

05/30/2014

Effective Date

03/24/2017

Expiration Date

03/31/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018