EDYTA M JAKUBCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172731

License Status

NOT RENEWED

Business

First Name

EDYTA

Middle

Last Name

JAKUBCZAK

Business Name

EDYTA M JAKUBCZAK

Original Issue Date

11/21/2006

Effective Date

11/21/2006

Expiration Date

03/31/2007

City

PALOS HEIGHTS

State

Zip

60463

Ever Disciplined

LastModifiedDate

05/14/2007