ROMAN A URBANIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100099

License Status

NOT RENEWED

Business

First Name

ROMAN A

Last Name

URBANIAK

Business Name

ROMAN A URBANIAK

Original Issue Date

05/07/1992

Effective Date

05/07/1992

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005