VICTOR PHILIPPE KIELBASA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162997

License Status

NOT RENEWED

Business

First Name

VICTOR

Middle

PHILIPPE

Last Name

KIELBASA

Business Name

VICTOR PHILIPPE KIELBASA

Original Issue Date

08/15/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009