DONNA CECILIA KIOLBASSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138077

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

CECILIA

Last Name

KIOLBASSA

Business Name

DONNA CECILIA KIOLBASSA

Original Issue Date

09/10/2001

Effective Date

09/10/2001

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005