DENISE L ANTOSIAK - Pharmacist License in Illinois | # 049112967

DENISE L ANTOSIAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112967

License Status

NOT RENEWED

Business

N

First Name

DENISE L

Last Name

ANTOSIAK

Business Name

DENISE L ANTOSIAK

Original Issue Date

01/16/1996

Effective Date

01/16/1996

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005