TATEON G PRUSACZYK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218326

License Status

NOT RENEWED

Business

First Name

TATEON

Middle

Last Name

PRUSACZYK

Business Name

TATEON G PRUSACZYK

Original Issue Date

05/30/2013

Effective Date

01/15/2020

Expiration Date

03/31/2021

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/20/2021