JOHN W WIECZOREK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139126

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

WIECZOREK

Business Name

JOHN W WIECZOREK

Original Issue Date

11/08/2001

Effective Date

11/08/2001

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005