NICHOLAS LANE GIBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239338

License Status

NOT RENEWED

Business

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

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

06/27/2017