RHIANNON S KUSTAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149015

License Status

NOT RENEWED

Business

First Name

RHIANNON

Middle

Last Name

KUSTAK

Business Name

RHIANNON S KUSTAK

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

03/31/2004

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005