JACK ALEX CICHOCKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136887

License Status

NOT RENEWED

Business

First Name

JACK

Middle

ALEX

Last Name

CICHOCKI

Business Name

JACK ALEX CICHOCKI

Original Issue Date

06/29/2001

Effective Date

06/29/2001

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005