NICHOLAS T LENTZ JR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024789

License Status

INACTIVE

Business

First Name

NICHOLAS T

Last Name

LENTZ JR

Business Name

NICHOLAS T LENTZ JR

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/05/2010