JOLENE M TARASIEWICZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146846

License Status

NOT RENEWED

Business

First Name

JOLENE

Middle

Last Name

TARASIEWICZ

Business Name

JOLENE M TARASIEWICZ

Original Issue Date

01/27/2003

Effective Date

01/27/2003

Expiration Date

03/31/2005

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005