LEONARD W KOSIBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058610

License Status

NOT RENEWED

Business

First Name

LEONARD W

Last Name

KOSIBA

Business Name

LEONARD W KOSIBA

Original Issue Date

10/28/1972

Effective Date

10/28/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005