BRADLEY RICHARD KITZEROW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144564

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

RICHARD

Last Name

KITZEROW

Business Name

BRADLEY RICHARD KITZEROW

Original Issue Date

09/09/2002

Effective Date

09/09/2002

Expiration Date

03/31/2003

City

BARRINGTON

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005