THOMAS MARK BRZOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147236

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

MARK

Last Name

BRZOZA

Business Name

THOMAS MARK BRZOZA

Original Issue Date

03/05/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007