MARTIN RUSSELL KUZEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156417

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

RUSSELL

Last Name

KUZEL

Business Name

MARTIN RUSSELL KUZEL

Original Issue Date

08/06/2004

Effective Date

08/06/2004

Expiration Date

03/31/2005

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005