ADAM B ANTKOWIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108039

License Status

NOT RENEWED

Business

First Name

ADAM B

Last Name

ANTKOWIAK

Business Name

ADAM B ANTKOWIAK

Original Issue Date

09/06/1994

Effective Date

09/06/1994

Expiration Date

03/31/2006

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006