JENNIFER LYNN KICZULA - Pharmacist License in Wisconsin | # 049158328

JENNIFER LYNN KICZULA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158328

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

LYNN

Last Name

KICZULA

Business Name

JENNIFER LYNN KICZULA

Original Issue Date

12/14/2004

Effective Date

02/19/2021

Expiration Date

05/31/2022

State

WI

Ever Disciplined

N

LastModifiedDate

07/27/2022