EDWARD STASIEWICZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081424

License Status

NOT RENEWED

Business

First Name

EDWARD

Last Name

STASIEWICZ

Business Name

EDWARD STASIEWICZ

Original Issue Date

07/30/1985

Effective Date

07/30/1985

Expiration Date

03/31/1986

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005