NICHOLAS JON VAN GOMPEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051294096

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

JON

Last Name

VAN GOMPEL

Business Name

NICHOLAS JON VAN GOMPEL

Original Issue Date

05/12/2010

Effective Date

05/12/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012