AGNIESZKA P DZIEKAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151157

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Middle

Last Name

DZIEKAN

Business Name

AGNIESZKA P DZIEKAN

Original Issue Date

10/01/2003

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012