MARY A EBERT KUKLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070845

License Status

NOT RENEWED

Business

First Name

MARY A EBERT

Last Name

KUKLA

Business Name

MARY A EBERT KUKLA

Original Issue Date

03/16/1979

Effective Date

03/16/1979

Expiration Date

03/31/1982

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005