JASEN A NOWAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099397

License Status

NOT RENEWED

Business

First Name

JASEN A

Last Name

NOWAK

Business Name

JASEN A NOWAK

Original Issue Date

02/13/1992

Effective Date

02/13/1992

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60633

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005