KIMBERLY ANN FIETSAM - Pharmacist License in Illinois | # 049065915

KIMBERLY ANN FIETSAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065915

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY ANN

Last Name

FIETSAM

Business Name

KIMBERLY ANN FIETSAM

Original Issue Date

08/13/1976

Effective Date

08/13/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005