LARRY SCOTT WISNIEWSKI - Pharmacist License in Illinois | # 049123853

LARRY SCOTT WISNIEWSKI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123853

License Status

NOT RENEWED

Business

N

First Name

LARRY

Middle

SCOTT

Last Name

WISNIEWSKI

Business Name

LARRY SCOTT WISNIEWSKI

Original Issue Date

11/19/1998

Effective Date

11/19/1998

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005