EDWARD T KIELBASA JR - Pharmacist License in Indiana | # 049153091

EDWARD T KIELBASA JR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153091

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Middle

T

Last Name

KIELBASA

Suffix

JR

Business Name

EDWARD T KIELBASA JR

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

03/31/2006

State

IN

Ever Disciplined

N

LastModifiedDate

05/11/2006