TIM T SUPERCZYNSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143189

License Status

NOT RENEWED

Business

First Name

TIM

Middle

Last Name

SUPERCZYNSKI

Business Name

TIM T SUPERCZYNSKI

Original Issue Date

06/13/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ST CHARLES

State

Zip

60174

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007