LORI J KOSTKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096250

License Status

NOT RENEWED

Business

First Name

LORI J

Last Name

KOSTKA

Business Name

LORI J KOSTKA

Original Issue Date

03/22/1991

Effective Date

03/22/1991

Expiration Date

03/31/1992

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005