NICHOLAS JON VAN GOMPEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171619

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

JON

Last Name

VAN GOMPEL

Business Name

NICHOLAS JON VAN GOMPEL

Original Issue Date

09/26/2006

Effective Date

02/03/2010

Expiration Date

03/31/2011

City

LITTLE CHUTE

State

Zip

54140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011