NICHOLAS RYAN ANDERSON DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249835

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

RYAN

Last Name

ANDERSON

Business Name

NICHOLAS RYAN ANDERSON DO

Original Issue Date

04/11/2017

Effective Date

04/11/2017

Expiration Date

03/31/2018

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018