LOIS ANNE BURCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074996

License Status

NOT RENEWED

Business

First Name

LOIS ANNE

Last Name

BURCZAK

Business Name

LOIS ANNE BURCZAK

Original Issue Date

07/17/1981

Effective Date

07/17/1981

Expiration Date

03/31/1984

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005