KENNETH KAPUSTKA - Pharmacist License in Illinois | # 049058076

KENNETH KAPUSTKA

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058076

License Status

CANCELLED

Business

N

First Name

KENNETH

Last Name

KAPUSTKA

Business Name

KENNETH KAPUSTKA

Original Issue Date

07/08/1972

Effective Date

07/08/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005