LAWRENCE JEROUSEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080525

License Status

NOT RENEWED

Business

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

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005