GLENN NATHANAEL KOSIROG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143144

License Status

NOT RENEWED

Business

First Name

GLENN

Middle

NATHANAEL

Last Name

KOSIROG

Business Name

GLENN NATHANAEL KOSIROG

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

03/31/2006

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006