GREGORY M DZIEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064576

License Status

NOT RENEWED

Business

First Name

GREGORY M

Last Name

DZIEM

Business Name

GREGORY M DZIEM

Original Issue Date

12/12/1975

Effective Date

12/12/1975

Expiration Date

01/01/1997

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005