NICOLE J KIEDYSZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184704

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

KIEDYSZ

Business Name

NICOLE J KIEDYSZ

Original Issue Date

06/04/2008

Effective Date

03/25/2010

Expiration Date

03/31/2011

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2011