AGATHA JULIA CIEZADLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123038

License Status

NOT RENEWED

Business

First Name

AGATHA

Middle

JULIA

Last Name

CIEZADLO

Business Name

AGATHA JULIA CIEZADLO

Original Issue Date

10/01/1998

Effective Date

10/01/1998

Expiration Date

03/31/2000

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005