BRIAN MICHAEL KITA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119473

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

KITA

Business Name

BRIAN MICHAEL KITA

Original Issue Date

12/01/1997

Effective Date

12/01/1997

Expiration Date

03/31/2002

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005