KSENIA KACZKIENOWICZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070946

License Status

NOT RENEWED

Business

First Name

KSENIA

Last Name

KACZKIENOWICZ

Business Name

KSENIA KACZKIENOWICZ

Original Issue Date

04/06/1979

Effective Date

04/06/1979

Expiration Date

03/31/1987

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005