SIMON STAN PRUCNAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153122

License Status

NOT RENEWED

Business

First Name

SIMON

Middle

STAN

Last Name

PRUCNAL

Business Name

SIMON STAN PRUCNAL

Original Issue Date

02/03/2004

Effective Date

02/03/2004

Expiration Date

03/31/2005

City

NORWOOD PARK

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005