SHANNON P KOZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184921

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

KOZAK

Prefix

Business Name

SHANNON P KOZAK

Original Issue Date

06/13/2008

Effective Date

06/13/2008

Expiration Date

03/31/2009

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009