ADAM W KIELBASA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118442

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

KIELBASA

Business Name

ADAM W KIELBASA

Original Issue Date

08/08/1997

Effective Date

08/08/1997

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005