DANIEL M KOSTURIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178473

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

KOSTURIK

Business Name

DANIEL M KOSTURIK

Original Issue Date

08/15/2007

Effective Date

08/15/2007

Expiration Date

03/31/2008

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008