NATHAN J CARPENTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239519

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

CARPENTER

Prefix

Business Name

NATHAN J CARPENTER

Original Issue Date

02/14/2016

Effective Date

02/27/2020

Expiration Date

03/31/2021

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/20/2021