SHAWN J KULESZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108785

License Status

NOT RENEWED

Business

First Name

SHAWN J

Last Name

KULESZA

Business Name

SHAWN J KULESZA

Original Issue Date

11/09/1994

Effective Date

11/09/1994

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1997050048

Action

Revocation

Discipline Start Date

10/23/1998

Discipline Reason

Diversion and unlawful sale of controlled substances to a third party.