ZACHARY JOHN PISUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164680

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

JOHN

Last Name

PISUT

Business Name

ZACHARY JOHN PISUT

Original Issue Date

10/31/2005

Effective Date

02/22/2010

Expiration Date

03/31/2011

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

05/12/2011