CARLA PONIATOWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153856

License Status

NOT RENEWED

Business

First Name

CARLA

Last Name

PONIATOWSKI

Business Name

CARLA PONIATOWSKI

Original Issue Date

03/23/2004

Effective Date

03/23/2004

Expiration Date

03/31/2005

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005