LUCAS M KOLKOVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150599

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

Last Name

KOLKOVICH

Business Name

LUCAS M KOLKOVICH

Original Issue Date

09/17/2003

Effective Date

09/17/2003

Expiration Date

03/31/2006

City

ELDRED

State

Zip

62027

County

GREENE

Ever Disciplined

LastModifiedDate

05/11/2006