VINCENT R KOUBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193172

License Status

NOT RENEWED

Business

First Name

VINCENT

Middle

Last Name

KOUBA

Business Name

VINCENT R KOUBA

Original Issue Date

07/23/2009

Effective Date

02/22/2010

Expiration Date

03/31/2011

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/12/2011