ANDREW J BOSIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135563

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

BOSIAK

Business Name

ANDREW J BOSIAK

Original Issue Date

04/03/2001

Effective Date

04/03/2001

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005