ADAM KEITH ROGOWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151457

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

KEITH

Last Name

ROGOWIN

Business Name

ADAM KEITH ROGOWIN

Original Issue Date

10/08/2003

Effective Date

10/08/2003

Expiration Date

03/31/2005

City

HIGHWOOD

State

Zip

60040

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005