MICHAEL WILLIAM WYSOCKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190752

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

WILLIAM

Last Name

WYSOCKI

Business Name

MICHAEL WILLIAM WYSOCKI

Original Issue Date

04/07/2009

Effective Date

04/07/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010