JEFFREY E NIEDBALEC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192732

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

NIEDBALEC

Business Name

JEFFREY E NIEDBALEC

Original Issue Date

06/30/2009

Effective Date

03/09/2011

Expiration Date

03/31/2012

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012