SHIRLEY L KONICKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056009

License Status

NOT RENEWED

Business

First Name

SHIRLEY L

Last Name

KONICKI

Business Name

SHIRLEY L KONICKI

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

PALOS HTS.

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005