DANIEL A CICHY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179362

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

CICHY

Prefix

Business Name

DANIEL A CICHY

Original Issue Date

09/23/2007

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013