RICHARD P WALCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198058

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

WALCZAK

Business Name

RICHARD P WALCZAK

Original Issue Date

04/27/2010

Effective Date

02/09/2015

Expiration Date

03/31/2016

City

LODA

State

Zip

60948

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/20/2016