DANIEL JOSEPH KUKLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058784

License Status

NOT RENEWED

Business

First Name

DANIEL JOSEPH

Last Name

KUKLA

Business Name

DANIEL JOSEPH KUKLA

Original Issue Date

12/06/1972

Effective Date

12/06/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005