JACOB THOMAS KOTECKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177172

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

THOMAS

Last Name

KOTECKI

Business Name

JACOB THOMAS KOTECKI

Original Issue Date

06/18/2007

Effective Date

02/16/2012

Expiration Date

03/31/2013

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/06/2013