NILES ALEXANDER CUSIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250652

License Status

NOT RENEWED

Business

First Name

NILES

Middle

ALEXANDER

Last Name

CUSIC

Business Name

NILES ALEXANDER CUSIC

Original Issue Date

05/18/2017

Effective Date

03/22/2018

Expiration Date

03/31/2019

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019