SCOTT THOMAS JANICZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161105

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

THOMAS

Last Name

JANICZAK

Business Name

SCOTT THOMAS JANICZAK

Original Issue Date

05/17/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008