KESHA DENA AMBROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145861

License Status

NOT RENEWED

Business

First Name

KESHA

Middle

DENA

Last Name

AMBROSE

Business Name

KESHA DENA AMBROSE

Original Issue Date

11/15/2002

Effective Date

11/15/2002

Expiration Date

03/31/2003

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005