KENNETH L BORUCKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057544

License Status

NOT RENEWED

Business

First Name

KENNETH L

Last Name

BORUCKE

Business Name

KENNETH L BORUCKE

Original Issue Date

04/01/1972

Effective Date

04/01/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005