STACY L KUBICA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196212

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

KUBICA

Business Name

STACY L KUBICA

Original Issue Date

01/14/2010

Effective Date

01/14/2010

Expiration Date

03/31/2011

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011