WILLIAM MICHAEL PIECUCH JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113547

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

MICHAEL

Last Name

PIECUCH

Suffix

Business Name

WILLIAM MICHAEL PIECUCH JR

Original Issue Date

02/28/1996

Effective Date

02/28/1996

Expiration Date

03/31/1997

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005