JAMES KSIAZEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034983

License Status

NOT RENEWED

Business

First Name

JAMES

Last Name

KSIAZEK

Business Name

JAMES KSIAZEK

Original Issue Date

08/09/1983

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008