SCOTT A KOZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112697

License Status

NOT RENEWED

Business

First Name

SCOTT A

Last Name

KOZAK

Business Name

SCOTT A KOZAK

Original Issue Date

12/07/1995

Effective Date

12/07/1995

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005