AGNIESZKA LOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201521

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Last Name

LOS

Business Name

AGNIESZKA LOS

Original Issue Date

11/12/2010

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012