CAROLYN W WASIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114134

License Status

NOT RENEWED

Business

First Name

CAROLYN W

Last Name

WASIK

Business Name

CAROLYN W WASIK

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

03/31/2003

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005