KELLY R KIZZORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099752

License Status

NOT RENEWED

Business

First Name

KELLY R

Last Name

KIZZORT

Business Name

KELLY R KIZZORT

Original Issue Date

03/30/1992

Effective Date

03/30/1992

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005