DONNA M WIACEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057587

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

WIACEK

Business Name

DONNA M WIACEK

Original Issue Date

04/01/1972

Effective Date

04/01/1972

Expiration Date

03/31/2005

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005