ANNA ANTOSIAK - Pharmacist License in Illinois | # 049115828

ANNA ANTOSIAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115828

License Status

NOT RENEWED

Business

N

First Name

ANNA

Last Name

ANTOSIAK

Business Name

ANNA ANTOSIAK

Original Issue Date

11/04/1996

Effective Date

11/04/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005