ANTHONY L KACZOR JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114333

License Status

NOT RENEWED

Business

First Name

ANTHONY L

Last Name

KACZOR JR

Business Name

ANTHONY L KACZOR JR

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005