CORRINE CAROL SKALITZKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142195

License Status

NOT RENEWED

Business

First Name

CORRINE

Middle

CAROL

Last Name

SKALITZKY

Business Name

CORRINE CAROL SKALITZKY

Original Issue Date

05/07/2002

Effective Date

05/07/2002

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005