ANDY RONALD ROSZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121790

License Status

NOT RENEWED

Business

First Name

ANDY

Middle

RONALD

Last Name

ROSZAK

Business Name

ANDY RONALD ROSZAK

Original Issue Date

06/29/1998

Effective Date

06/29/1998

Expiration Date

03/31/2000

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005