KELLY J MITSCH - Pharmacist License in Illinois | # 049100770

KELLY J MITSCH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100770

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005