KELLY KATHERYN MACKIE DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141811

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

KATHERYN

Last Name

MACKIE

Business Name

KELLY KATHERYN MACKIE DO

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

03/31/2006

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006