TIFFANY JEAN KACZANOWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147972

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

JEAN

Last Name

KACZANOWSKI

Business Name

TIFFANY JEAN KACZANOWSKI

Original Issue Date

04/14/2003

Effective Date

03/21/2014

Expiration Date

03/31/2015

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015