NATHAN DAVID PIPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248117

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

DAVID

Last Name

PIPER

Business Name

NATHAN DAVID PIPER

Original Issue Date

01/30/2017

Effective Date

01/30/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018