THOMAS M GASZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163534

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

GASZAK

Business Name

THOMAS M GASZAK

Original Issue Date

09/06/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

05/06/2009