PIOTR WYCZESANY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157702

License Status

NOT RENEWED

Business

First Name

PIOTR

Last Name

WYCZESANY

Business Name

PIOTR WYCZESANY

Original Issue Date

11/03/2004

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012