CAROLYN MARIE OMIATEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119642

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

MARIE

Last Name

OMIATEK

Business Name

CAROLYN MARIE OMIATEK

Original Issue Date

12/19/1997

Effective Date

12/19/1997

Expiration Date

03/31/1998

City

LAKE IN THE HILLS

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005