MARIE E WILCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157016

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

Last Name

WILCZAK

Business Name

MARIE E WILCZAK

Original Issue Date

08/31/2004

Effective Date

08/31/2004

Expiration Date

03/31/2005

City

BLUFF CITY

State

Zip

37618

Ever Disciplined

LastModifiedDate

10/20/2005