KELLY A IPPOLITO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150857

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

IPPOLITO

Business Name

KELLY A IPPOLITO

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005