MATTHEW J KACICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116211

License Status

NOT RENEWED

Business

First Name

MATTHEW J

Last Name

KACICH

Business Name

MATTHEW J KACICH

Original Issue Date

12/24/1996

Effective Date

12/24/1996

Expiration Date

03/31/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005