ROBERT J BACKIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140879

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

BACKIS

Business Name

ROBERT J BACKIS

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2004

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005