DONNA RAE CZOK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062029

License Status

CANCELLED

Business

First Name

DONNA RAE

Last Name

CZOK

Business Name

DONNA RAE CZOK

Original Issue Date

08/09/1974

Effective Date

08/09/1974

Expiration Date

01/01/1997

City

NORRIDGE

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005