KELLIE KRUGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144905

License Status

NOT RENEWED

Business

First Name

KELLIE

Last Name

KRUGMAN

Business Name

KELLIE KRUGMAN

Original Issue Date

09/30/2002

Effective Date

09/30/2002

Expiration Date

03/31/2004

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005