RANDALL ALLEN WASNICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146974

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

ALLEN

Last Name

WASNICK

Business Name

RANDALL ALLEN WASNICK

Original Issue Date

02/11/2003

Effective Date

02/11/2003

Expiration Date

03/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005