JOHN STANLEY KUCIEMBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118933

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

STANLEY

Last Name

KUCIEMBA

Business Name

JOHN STANLEY KUCIEMBA

Original Issue Date

09/29/1997

Effective Date

04/30/2012

Expiration Date

03/31/2013

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013