MICHELLE L KOZIOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168503

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

KOZIOL

Business Name

MICHELLE L KOZIOL

Original Issue Date

05/09/2006

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/07/2012