JASON R NILLES Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001526

License Status

CANCELLED

Business

First Name

JASON R

Last Name

NILLES

Business Name

JASON R NILLES

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Specialty/Qualifier

GOVT-LOCAL

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006