JEROME ANTHONY KUNICKI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030711

License Status

INACTIVE

Business

First Name

JEROME ANTHONY

Last Name

KUNICKI

Business Name

JEROME ANTHONY KUNICKI

Original Issue Date

12/18/1975

Effective Date

12/18/1975

Expiration Date

03/31/1986

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005