TIFFANY JOY WAJTAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124312

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

JOY

Last Name

WAJTAS

Business Name

TIFFANY JOY WAJTAS

Original Issue Date

12/28/1998

Effective Date

12/28/1998

Expiration Date

03/31/1999

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005