DAVID L KIELP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133257

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

KIELP

Business Name

DAVID L KIELP

Original Issue Date

10/19/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007