KRISTINA M ANTCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127425

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

Last Name

ANTCZAK

Business Name

KRISTINA M ANTCZAK

Original Issue Date

09/15/1999

Effective Date

09/15/1999

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005