KIRSTIN S PETYKOWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219455

License Status

NOT RENEWED

Business

First Name

KIRSTIN

Middle

Last Name

PETYKOWSKI

Business Name

KIRSTIN S PETYKOWSKI

Original Issue Date

07/19/2013

Effective Date

03/14/2014

Expiration Date

03/31/2015

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015