PETER M WASIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141584

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

WASIK

Business Name

PETER M WASIK

Original Issue Date

03/27/2002

Effective Date

03/27/2002

Expiration Date

03/31/2004

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005