ADAM J KIELBASA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185976

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

KIELBASA

Business Name

ADAM J KIELBASA

Original Issue Date

08/06/2008

Effective Date

02/04/2014

Expiration Date

03/31/2015

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015