JAMIE KUSMIERCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144092

License Status

NOT RENEWED

Business

First Name

JAMIE

Last Name

KUSMIERCZAK

Business Name

JAMIE KUSMIERCZAK

Original Issue Date

08/12/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008