NICHOLAS DAVID ROTELLO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026933

License Status

INACTIVE

Business

First Name

NICHOLAS

Middle

DAVID

Last Name

ROTELLO

Business Name

NICHOLAS DAVID ROTELLO

Original Issue Date

07/21/1966

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

KELSO

State

Zip

98626

County

WASHINGTON

Ever Disciplined

LastModifiedDate

01/18/2006