TANNER M KOWALSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205627

License Status

NOT RENEWED

Business

First Name

TANNER

Middle

Last Name

KOWALSKI

Prefix

Business Name

TANNER M KOWALSKI

Original Issue Date

07/27/2011

Effective Date

03/19/2012

Expiration Date

03/31/2013

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2013