TADEUSZ G BUCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159301

License Status

NOT RENEWED

Business

First Name

TADEUSZ

Middle

Last Name

BUCZAK

Business Name

TADEUSZ G BUCZAK

Original Issue Date

02/17/2005

Effective Date

02/17/2005

Expiration Date

03/31/2006

City

HAINESVILLE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006