SUSAN M BONCZYK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072823

License Status

CANCELLED

Business

First Name

SUSAN M

Last Name

BONCZYK

Business Name

SUSAN M BONCZYK

Original Issue Date

04/18/1980

Effective Date

04/18/1980

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005