BOLESLAUS T CIENCIWA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051020077

License Status

INACTIVE

Business

First Name

BOLESLAUS T

Last Name

CIENCIWA

Business Name

BOLESLAUS T CIENCIWA

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005