NIVEA NATHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293208

License Status

NOT RENEWED

Business

First Name

NIVEA

Last Name

NATHAN

Business Name

NIVEA NATHAN

Original Issue Date

06/10/2022

Effective Date

06/10/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023