HENRY E STANIEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067796

License Status

NOT RENEWED

Business

First Name

HENRY E

Last Name

STANIEK

Business Name

HENRY E STANIEK

Original Issue Date

07/15/1977

Effective Date

07/15/1977

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005