JACOB JOSEPH DZIERWA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260799

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

JOSEPH

Last Name

DZIERWA

Business Name

JACOB JOSEPH DZIERWA

Original Issue Date

10/20/2018

Effective Date

03/29/2019

Expiration Date

09/30/2020

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021