JEFFREY A WAWCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149766

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

WAWCZAK

Business Name

JEFFREY A WAWCZAK

Original Issue Date

08/11/2003

Effective Date

08/11/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005