KATHLEEN M PETROVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193433

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

PETROVICH

Business Name

KATHLEEN M PETROVICH

Original Issue Date

08/05/2009

Effective Date

01/09/2013

Expiration Date

03/31/2014

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014