CRIS WILLIAM KODIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142585

License Status

NOT RENEWED

Business

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

City

WILMINGTON

State

Zip

60481

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/14/2007