KELLY J MITSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100770

License Status

NOT RENEWED

Business

First Name

KELLY J

Last Name

MITSCH

Business Name

KELLY J MITSCH

Original Issue Date

07/21/1992

Effective Date

07/21/1992

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005