CATHERINE M KUSTUSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158670

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

Last Name

KUSTUSCH

Business Name

CATHERINE M KUSTUSCH

Original Issue Date

12/29/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008