RICHARD J WALCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204973

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

WALCZAK

Business Name

RICHARD J WALCZAK

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

03/31/2012

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012