MELISSA ELLEN KOZIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138436

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ELLEN

Last Name

KOZIK

Business Name

MELISSA ELLEN KOZIK

Original Issue Date

09/25/2001

Effective Date

09/25/2001

Expiration Date

03/31/2003

City

BURBANK

State

Zip

60459

Ever Disciplined

LastModifiedDate

10/20/2005