JANE F KOZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129224

License Status

NOT RENEWED

Business

First Name

JANE

Middle

Last Name

KOZAK

Business Name

JANE F KOZAK

Original Issue Date

02/10/2000

Effective Date

02/10/2000

Expiration Date

03/31/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005