NICHOLAS CHARLES MOFFETT - Pharmacist License in Illinois | # 049251925

NICHOLAS CHARLES MOFFETT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251925

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

CHARLES

Last Name

MOFFETT

Business Name

NICHOLAS CHARLES MOFFETT

Original Issue Date

07/18/2017

Effective Date

04/05/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022