DAVID KOZUCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288436

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

KOZUCK

Business Name

DAVID KOZUCK

Original Issue Date

11/29/2021

Effective Date

03/08/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023