KELLY MARIE DOMBROVIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113562

License Status

NOT RENEWED

Business

First Name

KELLY MARIE

Last Name

DOMBROVIAK

Business Name

KELLY MARIE DOMBROVIAK

Original Issue Date

03/06/1996

Effective Date

03/06/1996

Expiration Date

03/31/1997

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005