JUDITH KLACZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079014

License Status

NOT RENEWED

Business

First Name

JUDITH

Last Name

KLACZAK

Business Name

JUDITH KLACZAK

Original Issue Date

10/04/1983

Effective Date

03/24/2017

Expiration Date

03/31/2018

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018