BOZENA KOZACZKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119506

License Status

NOT RENEWED

Business

First Name

BOZENA

Last Name

KOZACZKA

Business Name

BOZENA KOZACZKA

Original Issue Date

12/04/1997

Effective Date

06/08/2018

Expiration Date

03/31/2019

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019