KENNETH KAPUSTKA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058076

License Status

CANCELLED

Business

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

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005