LAWRENCE JEROUSEK - Pharmacist License in Illinois | # 049080525

LAWRENCE JEROUSEK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080525

License Status

NOT RENEWED

Business

N

First Name

LAWRENCE

Last Name

JEROUSEK

Business Name

LAWRENCE JEROUSEK

Original Issue Date

12/19/1984

Effective Date

12/19/1984

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005