TOM DAWISKIBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174054

License Status

NOT RENEWED

Business

First Name

TOM

Last Name

DAWISKIBA

Business Name

TOM DAWISKIBA

Original Issue Date

01/31/2007

Effective Date

01/31/2007

Expiration Date

03/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008