ERIC D KIZZIAH - Pharmacist License in Illinois | # 049149705

ERIC D KIZZIAH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149705

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

D

Last Name

KIZZIAH

Business Name

ERIC D KIZZIAH

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006