ADAM W KIELBASA - Pharmacist License in Illinois | # 049118442

ADAM W KIELBASA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118442

License Status

NOT RENEWED

Business

N

First Name

ADAM

Middle

W

Last Name

KIELBASA

Business Name

ADAM W KIELBASA

Original Issue Date

08/08/1997

Effective Date

08/08/1997

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005