NICHOLAS JAMES BURGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177000

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

JAMES

Last Name

BURGE

Business Name

NICHOLAS JAMES BURGE

Original Issue Date

06/13/2007

Effective Date

01/31/2011

Expiration Date

03/31/2012

City

AUSTIN

State

Zip

78737

Ever Disciplined

LastModifiedDate

05/07/2012