DOMINIK K ZIEBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147428

License Status

NOT RENEWED

Business

First Name

DOMINIK

Middle

Last Name

ZIEBA

Business Name

DOMINIK K ZIEBA

Original Issue Date

03/14/2003

Effective Date

03/14/2003

Expiration Date

03/31/2004

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005