SANDRA LEE KSIAZEK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071031

License Status

CANCELLED

Business

First Name

SANDRA LEE

Last Name

KSIAZEK

Business Name

SANDRA LEE KSIAZEK

Original Issue Date

04/20/1979

Effective Date

04/20/1979

Expiration Date

03/31/1984

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005