ANNA ANTOSIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115828

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005