THOMAS MICHAEL JACZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250454

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

MICHAEL

Last Name

JACZAK

Business Name

THOMAS MICHAEL JACZAK

Original Issue Date

05/09/2017

Effective Date

05/09/2017

Expiration Date

03/31/2018

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018