STEPHEN H KOZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156967

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

KOZAK

Business Name

STEPHEN H KOZAK

Original Issue Date

08/27/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008