JUSTIN KOSIROG MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205056

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Last Name

KOSIROG

Business Name

JUSTIN KOSIROG MD

Original Issue Date

06/29/2011

Effective Date

06/29/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012