MARY ELLEN PATRI KLBECKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062805

License Status

NOT RENEWED

Business

First Name

MARY ELLEN PATRI

Last Name

KLBECKA

Business Name

MARY ELLEN PATRI KLBECKA

Original Issue Date

01/17/1975

Effective Date

01/17/1975

Expiration Date

01/01/1997

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005