MARI LESLEY KITSUSE - Pharmacist License in Illinois | # 049064734

MARI LESLEY KITSUSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064734

License Status

NOT RENEWED

Business

N

First Name

MARI LESLEY

Last Name

KITSUSE

Business Name

MARI LESLEY KITSUSE

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005