NICHOLAS STEVE BRUKETTA - Pharmacist License in Illinois | # 051030245

NICHOLAS STEVE BRUKETTA

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030245

License Status

INACTIVE

Business

N

First Name

NICHOLAS STEVE

Last Name

BRUKETTA

Business Name

NICHOLAS STEVE BRUKETTA

Original Issue Date

12/16/1974

Effective Date

01/22/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2020