LESLIE JOHN KAZMIERCZAK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058846

License Status

CANCELLED

Business

First Name

LESLIE JOHN

Last Name

KAZMIERCZAK

Business Name

LESLIE JOHN KAZMIERCZAK

Original Issue Date

12/30/1972

Effective Date

12/30/1972

Expiration Date

01/01/1997

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005