MITZI M WASIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119451

License Status

NOT RENEWED

Business

First Name

MITZI

Middle

Last Name

WASIK

Business Name

MITZI M WASIK

Original Issue Date

11/26/1997

Effective Date

11/26/1997

Expiration Date

03/31/2000

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/21/2005