License holder summary

Ben Isaac Niebaum is a Pharmacy - Pharmacist Intern licensed to practice in Colorado. The address on file for Ben Isaac Niebaum is 4221 33rd Ave S Apt 302, Fargo, ND, 58104-8104. This licensed professional license is not current. The license was granted 10/19/2009 and expired on 10/31/2011.

Colorado

Division of Professions and Occupations

Ben Isaac Niebaum
Pharmacy - Pharmacist Intern
License number
2004250
Date granted
10/19/2009
Date expires
10/31/2011
Class
Pharmacy - Pharmacist Intern
Status
Expired
Address
4221 33rd Ave S Apt 302, Fargo, ND, 58104-8104
coloradolicensing.org
ID 28201049
LAST UPDATED 2024-04-16 20:31:06 UTC

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