LARRY PAUL CZERNIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060596

License Status

NOT RENEWED

Business

First Name

LARRY PAUL

Last Name

CZERNIAK

Business Name

LARRY PAUL CZERNIAK

Original Issue Date

11/16/1973

Effective Date

11/16/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005