DAVID A KOZIOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061204

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

KOZIOL

Business Name

DAVID A KOZIOL

Original Issue Date

03/29/1974

Effective Date

03/29/1974

Expiration Date

01/01/1997

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005