MARY ANN KALISIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121953

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ANN

Last Name

KALISIAK

Business Name

MARY ANN KALISIAK

Original Issue Date

07/14/1998

Effective Date

01/22/2013

Expiration Date

03/31/2014

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/06/2014