LARRY SCOTT WISNIEWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123853

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005