PATI R CISZEWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106661

License Status

NOT RENEWED

Business

First Name

PATI

Middle

Last Name

CISZEWSKI

Business Name

PATI R CISZEWSKI

Original Issue Date

04/20/1994

Effective Date

01/24/2012

Expiration Date

03/31/2013

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2013