CHARLES MATTHEW KIELMA - Pharmacist License in Illinois | # 049068106

CHARLES MATTHEW KIELMA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068106

License Status

NOT RENEWED

Business

N

First Name

CHARLES MATTHEW

Last Name

KIELMA

Business Name

CHARLES MATTHEW KIELMA

Original Issue Date

09/16/1977

Effective Date

09/16/1977

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005