MICHAEL STANLEY KACIUBA - Pharmacist License in Illinois | # 049138007

MICHAEL STANLEY KACIUBA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138007

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

STANLEY

Last Name

KACIUBA

Business Name

MICHAEL STANLEY KACIUBA

Original Issue Date

09/10/2001

Effective Date

09/10/2001

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005