RAYMOND J KOZICKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153982

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

Last Name

KOZICKI

Business Name

RAYMOND J KOZICKI

Original Issue Date

04/07/2004

Effective Date

04/07/2004

Expiration Date

03/31/2005

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005