NICHOLAS M TABOR III Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032737

License Status

INACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

TABOR

Suffix

III

Business Name

NICHOLAS M TABOR III

Original Issue Date

08/07/1979

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

06/18/2022