JACEK ADAM TYRAWA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136520

License Status

NOT RENEWED

Business

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

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005