LAWRENCE PECENIAK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058983

License Status

CANCELLED

Business

First Name

LAWRENCE

Last Name

PECENIAK

Business Name

LAWRENCE PECENIAK

Original Issue Date

01/23/1973

Effective Date

01/23/1973

Expiration Date

01/01/1997

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005