KESHA DENA AMBROSE - Pharmacist License in Illinois | # 049145861

KESHA DENA AMBROSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145861

License Status

NOT RENEWED

Business

N

First Name

KESHA

Middle

DENA

Last Name

AMBROSE

Business Name

KESHA DENA AMBROSE

Original Issue Date

11/15/2002

Effective Date

11/15/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005