MELANIE JO KIESECOMS - Pharmacist License in Illinois | # 049120758

MELANIE JO KIESECOMS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120758

License Status

NOT RENEWED

Business

N

First Name

MELANIE

Middle

JO

Last Name

KIESECOMS

Business Name

MELANIE JO KIESECOMS

Original Issue Date

04/23/1998

Effective Date

04/23/1998

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005