KEITH A BUCICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102120

License Status

NOT RENEWED

Business

First Name

KEITH A

Last Name

BUCICH

Business Name

KEITH A BUCICH

Original Issue Date

01/04/1993

Effective Date

01/04/1993

Expiration Date

03/31/1994

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005