JAMES KSIAZEK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073039

License Status

CANCELLED

Business

First Name

JAMES

Last Name

KSIAZEK

Business Name

JAMES KSIAZEK

Original Issue Date

05/30/1980

Effective Date

05/30/1980

Expiration Date

03/31/1984

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005