M SUSANNE FRONCZAK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039640

License Status

INACTIVE

Business

First Name

M SUSANNE

Last Name

FRONCZAK

Business Name

M SUSANNE FRONCZAK

Original Issue Date

01/11/1994

Effective Date

01/11/1994

Expiration Date

03/31/2000

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

12/06/2005