LARRY LEE NOWICKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063026

License Status

NOT RENEWED

Business

First Name

LARRY LEE

Last Name

NOWICKI

Business Name

LARRY LEE NOWICKI

Original Issue Date

02/28/1975

Effective Date

02/28/1975

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005