JENNIFER LYNN KICZULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158328

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

KICZULA

Business Name

JENNIFER LYNN KICZULA

Original Issue Date

12/14/2004

Effective Date

02/19/2021

Expiration Date

05/31/2022

City

PLEASANT PRAIRIE

State

Zip

53158

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022