JACEK ADAM TYRAWA - Pharmacist License in Illinois | # 049136520

JACEK ADAM TYRAWA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136520

License Status

NOT RENEWED

Business

N

First Name

JACEK

Middle

ADAM

Last Name

TYRAWA

Business Name

JACEK ADAM TYRAWA

Original Issue Date

06/01/2001

Effective Date

06/01/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005