LORI A KMIECIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188470

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

KMIECIK

Prefix

Business Name

LORI A KMIECIK

Original Issue Date

12/02/2008

Effective Date

01/26/2015

Expiration Date

03/31/2016

City

LEAF RIVER

State

Zip

61047

County

OGLE

Ever Disciplined

LastModifiedDate

05/20/2016