NICHOLAS A TANNENBAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246736

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

TANNENBAUM

Business Name

NICHOLAS A TANNENBAUM

Original Issue Date

11/30/2016

Effective Date

03/22/2017

Expiration Date

03/31/2018

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018