SHIRLEY MARIE MIESZCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121410

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

MARIE

Last Name

MIESZCZAK

Business Name

SHIRLEY MARIE MIESZCZAK

Original Issue Date

06/10/1998

Effective Date

06/10/1998

Expiration Date

03/31/1999

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005