STEPHEN P KUKLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155155

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

KUKLA

Business Name

STEPHEN P KUKLA

Original Issue Date

06/15/2004

Effective Date

02/25/2016

Expiration Date

03/31/2017

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2017