CHAD J KODIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107328

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

KODIAK

Business Name

CHAD J KODIAK

Original Issue Date

06/23/1994

Effective Date

06/23/1994

Expiration Date

03/31/2000

City

WILMINGTON

State

Zip

60481

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005