STACY L CZERWINSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134157

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

CZERWINSKI

Business Name

STACY L CZERWINSKI

Original Issue Date

12/20/2000

Effective Date

12/20/2000

Expiration Date

03/31/2005

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005