JACK ROBERT BACZEWSKI Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049309465

License Status

ACTIVE

Business

First Name

JACK

Middle

ROBERT

Last Name

BACZEWSKI

Business Name

JACK ROBERT BACZEWSKI

Original Issue Date

01/30/2024

Effective Date

03/30/2025

Expiration Date

03/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/30/2026