KEITH JOHN MALKOWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064187

License Status

NOT RENEWED

Business

First Name

KEITH JOHN

Last Name

MALKOWSKI

Business Name

KEITH JOHN MALKOWSKI

Original Issue Date

09/12/1975

Effective Date

09/12/1975

Expiration Date

01/01/1997

City

BERKELEY

State

Zip

60163

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005