THEODORE J WITASIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198543

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

WITASIK

Business Name

THEODORE J WITASIK

Original Issue Date

05/25/2010

Effective Date

05/25/2010

Expiration Date

03/31/2011

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/12/2011