PHIL W NIEMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051017773

License Status

INACTIVE

Business

First Name

PHIL W

Last Name

NIEMAN

Business Name

PHIL W NIEMAN

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

BOULDER HILL

State

Zip

60538

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005