KATHLEEN HENNEBERRY-KUSTUSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157425

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Last Name

HENNEBERRY-KUSTUSCH

Business Name

KATHLEEN HENNEBERRY-KUSTUSCH

Original Issue Date

10/12/2004

Effective Date

03/20/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014