JEFFREY LOGAN KUSICIEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147000

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

LOGAN

Last Name

KUSICIEL

Business Name

JEFFREY LOGAN KUSICIEL

Original Issue Date

02/14/2003

Effective Date

02/14/2003

Expiration Date

03/31/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005