AGNIESZKA WALCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150705

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Last Name

WALCZAK

Business Name

AGNIESZKA WALCZAK

Original Issue Date

09/23/2003

Effective Date

01/25/2011

Expiration Date

03/31/2012

City

NORRIDGE

State

Zip

60706

Ever Disciplined

LastModifiedDate

05/07/2012