DOMINIKA BLANKA JOZEFIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159274

License Status

NOT RENEWED

Business

First Name

DOMINIKA

Middle

BLANKA

Last Name

JOZEFIAK

Business Name

DOMINIKA BLANKA JOZEFIAK

Original Issue Date

02/17/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007