KELLY ANN ANTOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152036

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

ANTOS

Business Name

KELLY ANN ANTOS

Original Issue Date

11/04/2003

Effective Date

11/04/2003

Expiration Date

03/31/2005

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005