MICHAEL WAYNE KUTZKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069949

License Status

NOT RENEWED

Business

First Name

MICHAEL WAYNE

Last Name

KUTZKO

Business Name

MICHAEL WAYNE KUTZKO

Original Issue Date

08/18/1978

Effective Date

08/18/1978

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005