KELLY WCISLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181312

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

WCISLO

Business Name

KELLY WCISLO

Original Issue Date

12/28/2007

Effective Date

03/17/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010