NICHOLAS LANE GIBSON - Pharmacist License in Illinois | # 049239338

NICHOLAS LANE GIBSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239338

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

LANE

Last Name

GIBSON

Business Name

NICHOLAS LANE GIBSON

Original Issue Date

02/02/2016

Effective Date

02/02/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

06/27/2017