MICHAEL STANLEY KACIUBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138007

License Status

NOT RENEWED

Business

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

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005