ANTHONY C TOMCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144236

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

TOMCZAK

Business Name

ANTHONY C TOMCZAK

Original Issue Date

08/19/2002

Effective Date

08/19/2002

Expiration Date

03/31/2003

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005