JUZAR S KAKA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071352

License Status

CANCELLED

Business

First Name

JUZAR S

Last Name

KAKA

Business Name

JUZAR S KAKA

Original Issue Date

06/15/1979

Effective Date

06/15/1979

Expiration Date

03/31/1984

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005