ADAM RAFAL NIEMIEC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172563

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

RAFAL

Last Name

NIEMIEC

Business Name

ADAM RAFAL NIEMIEC

Original Issue Date

11/15/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009