PHILLIP BLASE GORECKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072189

License Status

NOT RENEWED

Business

First Name

PHILLIP BLASE

Last Name

GORECKI

Business Name

PHILLIP BLASE GORECKI

Original Issue Date

11/28/1979

Effective Date

11/28/1979

Expiration Date

03/31/1982

City

CALUMET PARK

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005