THOMAS L KSIAZEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052635

License Status

NOT RENEWED

Business

First Name

THOMAS L

Last Name

KSIAZEK

Business Name

THOMAS L KSIAZEK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005