DAVID SCOTT WAIDZUNAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145187

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

SCOTT

Last Name

WAIDZUNAS

Business Name

DAVID SCOTT WAIDZUNAS

Original Issue Date

10/09/2002

Effective Date

03/01/2010

Expiration Date

03/31/2011

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011