JEFFREY R KIEKENBUSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170140

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

KIEKENBUSH

Business Name

JEFFREY R KIEKENBUSH

Original Issue Date

07/21/2006

Effective Date

07/21/2006

Expiration Date

03/31/2007

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007