GERALD P NELEZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029351

License Status

NOT RENEWED

Business

First Name

GERALD P

Last Name

NELEZEN

Business Name

GERALD P NELEZEN

Original Issue Date

09/14/1972

Effective Date

09/14/1972

Expiration Date

01/01/1997

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005