DAVID WALTER SZUSTAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152410

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WALTER

Last Name

SZUSTAK

Business Name

DAVID WALTER SZUSTAK

Original Issue Date

12/09/2003

Effective Date

02/22/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011