ALAN WALTER JAGIELSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133909

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

WALTER

Last Name

JAGIELSKI

Business Name

ALAN WALTER JAGIELSKI

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/31/2003

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005