RICHARD JAMES KANCILJA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120253

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

JAMES

Last Name

KANCILJA

Business Name

RICHARD JAMES KANCILJA

Original Issue Date

03/13/1998

Effective Date

03/13/1998

Expiration Date

03/31/1999

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005