MARLENE ANN KOSIROG - Pharmacist License in Illinois | # 049062579

MARLENE ANN KOSIROG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062579

License Status

NOT RENEWED

Business

N

First Name

MARLENE ANN

Last Name

KOSIROG

Business Name

MARLENE ANN KOSIROG

Original Issue Date

11/22/1974

Effective Date

11/22/1974

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005