MICHELLE P KOLACZEWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151980

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

KOLACZEWSKI

Business Name

MICHELLE P KOLACZEWSKI

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

03/31/2005

City

HARWOOD HEIGHTS

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005