KELLY A RIDLBAUER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185611

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

RIDLBAUER

Prefix

Business Name

KELLY A RIDLBAUER

Original Issue Date

07/17/2008

Effective Date

02/09/2011

Expiration Date

03/31/2012

City

WEST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

03/14/2012