STEPHANIE LYN PETRYKOWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157313

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

LYN

Last Name

PETRYKOWSKI

Business Name

STEPHANIE LYN PETRYKOWSKI

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

03/31/2006

City

LAKE ZURICH

State

Zip

60047

Ever Disciplined

LastModifiedDate

05/11/2006