ASHLEY R RUSZCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195289

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

RUSZCZAK

Business Name

ASHLEY R RUSZCZAK

Original Issue Date

11/12/2009

Effective Date

02/24/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013