MARK KRZYSZTOFIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176146

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

KRZYSZTOFIAK

Business Name

MARK KRZYSZTOFIAK

Original Issue Date

05/04/2007

Effective Date

05/04/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008