THERESA G KOLOSIEKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188133

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

KOLOSIEKE

Business Name

THERESA G KOLOSIEKE

Original Issue Date

11/04/2008

Effective Date

01/25/2010

Expiration Date

03/31/2011

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/12/2011