BRIAN M KULCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161751

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

KULCZAK

Business Name

BRIAN M KULCZAK

Original Issue Date

06/17/2005

Effective Date

06/17/2005

Expiration Date

03/31/2006

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006