CHAD J KODIAK - Pharmacist License in Illinois | # 049107328

CHAD J KODIAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107328

License Status

NOT RENEWED

Business

N

First Name

CHAD

Middle

J

Last Name

KODIAK

Business Name

CHAD J KODIAK

Original Issue Date

06/23/1994

Effective Date

06/23/1994

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005