DONNA J KIELBASA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107445

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

KIELBASA

Business Name

DONNA J KIELBASA

Original Issue Date

07/02/1994

Effective Date

07/02/1994

Expiration Date

03/31/2005

City

BARTLETT

State

Zip

60103

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005