THERESE A WASILEWSKI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222361

License Status

INACTIVE

Business

First Name

THERESE A

Last Name

WASILEWSKI

Business Name

THERESE A WASILEWSKI

Original Issue Date

12/05/2013

Effective Date

01/17/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2019