TERRY KOZLOWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058125

License Status

NOT RENEWED

Business

First Name

TERRY

Last Name

KOZLOWSKI

Business Name

TERRY KOZLOWSKI

Original Issue Date

07/21/1972

Effective Date

07/21/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005