RICHARD J KIEBALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173207

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

KIEBALA

Business Name

RICHARD J KIEBALA

Original Issue Date

12/14/2006

Effective Date

02/29/2012

Expiration Date

03/31/2013

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013