BRIAN M KULCZAK - Pharmacist License in Illinois | # 049161751

BRIAN M KULCZAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161751

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

M

Last Name

KULCZAK

Business Name

BRIAN M KULCZAK

Original Issue Date

06/17/2005

Effective Date

06/17/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006