ANTHONY R KICZULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145502

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

KICZULA

Business Name

ANTHONY R KICZULA

Original Issue Date

10/24/2002

Effective Date

03/26/2018

Expiration Date

03/31/2019

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019