ERNEST WALTER KLUSAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135414

License Status

NOT RENEWED

Business

First Name

ERNEST

Middle

WALTER

Last Name

KLUSAK

Business Name

ERNEST WALTER KLUSAK

Original Issue Date

03/27/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007