Tavis Roman Kaczanowski

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049139160

Status

Expired (Not Renewed)

First issued

November 9, 2001

Expired

March 31, 2002

License holder

Tavis Roman Kaczanowski

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

11/09/2001

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