GERALD JAMES WASIK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029279

License Status

INACTIVE

Business

First Name

GERALD JAMES

Last Name

WASIK

Business Name

GERALD JAMES WASIK

Original Issue Date

08/05/1972

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2020