ANDREW J KASIANCHUK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033203

License Status

INACTIVE

Business

First Name

ANDREW J

Last Name

KASIANCHUK

Business Name

ANDREW J KASIANCHUK

Original Issue Date

07/15/1980

Effective Date

07/15/1980

Expiration Date

03/31/1992

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005