DIRK W KILLELEA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121663

License Status

NOT RENEWED

Business

First Name

DIRK

Middle

Last Name

KILLELEA

Business Name

DIRK W KILLELEA

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

03/31/2003

City

ANNAWAN

State

Zip

61234

County

HENRY

Ever Disciplined

LastModifiedDate

10/20/2005