LEONARD J KOSIROG Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061069

License Status

CANCELLED

Business

First Name

LEONARD J

Last Name

KOSIROG

Business Name

LEONARD J KOSIROG

Original Issue Date

03/01/1974

Effective Date

03/01/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005