CHARLES MATTHEW KIELMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068106

License Status

NOT RENEWED

Business

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

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005