ANDREW JATSKIV MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151416

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Last Name

JATSKIV

Business Name

ANDREW JATSKIV MD

Original Issue Date

10/07/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007