ANTHONY R KICZULA - Pharmacist License in Illinois | # 049145502

ANTHONY R KICZULA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145502

License Status

NOT RENEWED

Business

N

First Name

ANTHONY

Middle

R

Last Name

KICZULA

Business Name

ANTHONY R KICZULA

Original Issue Date

10/24/2002

Effective Date

03/26/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019