KELLY ANN MASQUIDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132708

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

MASQUIDA

Business Name

KELLY ANN MASQUIDA

Original Issue Date

09/15/2000

Effective Date

09/15/2000

Expiration Date

03/31/2005

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005