MARI LESLEY KITSUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064734

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005