CHARLES R FRONTCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205655

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

FRONTCZAK

Prefix

Business Name

CHARLES R FRONTCZAK

Original Issue Date

07/28/2011

Effective Date

07/28/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012