KRYSTEN ALICE MODRZEJEWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126407

License Status

NOT RENEWED

Business

First Name

KRYSTEN

Middle

ALICE

Last Name

MODRZEJEWSKI

Business Name

KRYSTEN ALICE MODRZEJEWSKI

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005