JUSTIN M LICITIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123979

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

LICITIS

Business Name

JUSTIN M LICITIS

Original Issue Date

12/01/1998

Effective Date

12/01/1998

Expiration Date

03/31/2000

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005