Kristoffer Ryan Kotoucek
ExpiredIllinois license 049115999
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049115999
- Status
- Expired (Not Renewed)
- First issued
- November 19, 1996
- Expired
- March 31, 2009
- License holder
- Kristoffer Ryan Kotoucek
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/10/2008
Contact
Swansea, IL 62226
Saint Clair County