SEBASTIAN JAN GURGUL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158493

License Status

NOT RENEWED

Business

First Name

SEBASTIAN

Middle

JAN

Last Name

GURGUL

Business Name

SEBASTIAN JAN GURGUL

Original Issue Date

12/21/2004

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012