CRIS WILLIAM KODIAK - Pharmacist License in Illinois | # 049142585

CRIS WILLIAM KODIAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142585

License Status

NOT RENEWED

Business

N

First Name

CRIS

Middle

WILLIAM

Last Name

KODIAK

Business Name

CRIS WILLIAM KODIAK

Original Issue Date

05/24/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007