SHANE K KOZLOWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238523

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

KOZLOWSKI

Business Name

SHANE K KOZLOWSKI

Original Issue Date

12/28/2015

Effective Date

03/17/2016

Expiration Date

03/31/2017

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2017