MICHELLE DANA KWIATEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065926

License Status

NOT RENEWED

Business

First Name

MICHELLE DANA

Last Name

KWIATEK

Business Name

MICHELLE DANA KWIATEK

Original Issue Date

08/13/1976

Effective Date

08/13/1976

Expiration Date

01/01/1997

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

10/17/2005