EDWARD W WANIELISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049026396

License Status

NOT RENEWED

Business

First Name

EDWARD W

Last Name

WANIELISTA

Business Name

EDWARD W WANIELISTA

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005