NICHOLAS CHARLES JACEZKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274576

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

CHARLES

Last Name

JACEZKO

Business Name

NICHOLAS CHARLES JACEZKO

Original Issue Date

07/24/2020

Effective Date

07/24/2020

Expiration Date

03/31/2021

City

LAKE SAINT LOUIS

State

Zip

63367

Ever Disciplined

LastModifiedDate

07/20/2021