MICHELE ANN WASYLCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060791

License Status

NOT RENEWED

Business

First Name

MICHELE ANN

Last Name

WASYLCZAK

Business Name

MICHELE ANN WASYLCZAK

Original Issue Date

01/02/1974

Effective Date

01/02/1974

Expiration Date

01/01/1997

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/17/2005