KELLY K BUCHWAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177671

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BUCHWAK

Business Name

KELLY K BUCHWAK

Original Issue Date

07/10/2007

Effective Date

03/03/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011