NICHOLAS A LADD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025715

License Status

NOT RENEWED

Business

First Name

NICHOLAS A

Last Name

LADD

Business Name

NICHOLAS A LADD

Original Issue Date

01/01/1997

Effective Date

03/21/2014

Expiration Date

03/31/2016

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016