KELLY S DEBAERDEMAECKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094495

License Status

NOT RENEWED

Business

First Name

KELLY S

Last Name

DEBAERDEMAECKER

Business Name

KELLY S DEBAERDEMAECKER

Original Issue Date

09/21/1990

Effective Date

06/22/2015

Expiration Date

03/31/2016

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/20/2016