LAWRENCE MICHAEL WIECZOREK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062250

License Status

NOT RENEWED

Business

First Name

LAWRENCE MICHAEL

Last Name

WIECZOREK

Business Name

LAWRENCE MICHAEL WIECZOREK

Original Issue Date

09/13/1974

Effective Date

09/13/1974

Expiration Date

01/01/1997

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005