MAGDALEN ANNA KMIEC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149149

License Status

NOT RENEWED

Business

First Name

MAGDALEN

Middle

ANNA

Last Name

KMIEC

Business Name

MAGDALEN ANNA KMIEC

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

03/31/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005