SAMANTHA A WITCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182113

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

WITCZAK

Business Name

SAMANTHA A WITCZAK

Original Issue Date

02/10/2008

Effective Date

03/05/2009

Expiration Date

03/31/2010

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010