DONALD JEROME PUCHALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053949

License Status

NOT RENEWED

Business

First Name

DONALD JEROME

Last Name

PUCHALA

Business Name

DONALD JEROME PUCHALA

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005