KEITH USTASZEWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232017

License Status

NOT RENEWED

Business

First Name

KEITH

Last Name

USTASZEWSKI

Business Name

KEITH USTASZEWSKI

Original Issue Date

03/30/2015

Effective Date

06/16/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017