MARLENE ANN KOSIROG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062579

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005