MARY P WALCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105562

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

WALCZAK

Business Name

MARY P WALCZAK

Original Issue Date

01/11/1994

Effective Date

01/11/1994

Expiration Date

03/31/2004

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005