ROSALIE WIELKOPOLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072418

License Status

NOT RENEWED

Business

First Name

ROSALIE

Last Name

WIELKOPOLAN

Business Name

ROSALIE WIELKOPOLAN

Original Issue Date

01/14/1980

Effective Date

01/14/1980

Expiration Date

03/31/1982

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005