LYNNE A KSIAZEK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070675

License Status

CANCELLED

Business

First Name

LYNNE A

Last Name

KSIAZEK

Business Name

LYNNE A KSIAZEK

Original Issue Date

02/16/1979

Effective Date

02/16/1979

Expiration Date

03/31/1982

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005