TIMOTHY ADAM MANOSACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152606

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

ADAM

Last Name

MANOSACK

Business Name

TIMOTHY ADAM MANOSACK

Original Issue Date

12/18/2003

Effective Date

12/18/2003

Expiration Date

03/31/2005

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005