JODY PETRUSEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109373

License Status

NOT RENEWED

Business

First Name

JODY

Last Name

PETRUSEK

Business Name

JODY PETRUSEK

Original Issue Date

01/25/1995

Effective Date

01/25/1995

Expiration Date

03/31/2002

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005