PHYLLIS C KOPCZICK - Pharmacist License in Illinois | # 049066028

PHYLLIS C KOPCZICK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066028

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS C

Last Name

KOPCZICK

Business Name

PHYLLIS C KOPCZICK

Original Issue Date

09/03/1976

Effective Date

09/03/1976

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005