NICHOLAS BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210818

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Last Name

BURGESS

Prefix

Business Name

NICHOLAS BURGESS

Original Issue Date

05/04/2012

Effective Date

01/22/2014

Expiration Date

03/31/2015

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2015