MILDRED L KUBIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080378

License Status

NOT RENEWED

Business

First Name

MILDRED L

Last Name

KUBIAK

Business Name

MILDRED L KUBIAK

Original Issue Date

10/23/1984

Effective Date

03/15/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011