MATTHEW N WIECZOREK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129528

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

WIECZOREK

Business Name

MATTHEW N WIECZOREK

Original Issue Date

02/24/2000

Effective Date

02/24/2000

Expiration Date

03/31/2003

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005