DOROTA AGATA LASEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191255

License Status

NOT RENEWED

Business

First Name

DOROTA

Middle

AGATA

Last Name

LASEK

Business Name

DOROTA AGATA LASEK

Original Issue Date

04/23/2009

Effective Date

04/15/2011

Expiration Date

03/31/2012

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012