ANGELA NICHOLE GRZCLAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184846

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

NICHOLE

Last Name

GRZCLAK

Business Name

ANGELA NICHOLE GRZCLAK

Original Issue Date

06/11/2008

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010