DAN J KWASIGROCH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065194

License Status

CANCELLED

Business

First Name

DAN J

Last Name

KWASIGROCH

Business Name

DAN J KWASIGROCH

Original Issue Date

04/16/1976

Effective Date

04/16/1976

Expiration Date

01/01/1997

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005