KELLY A KMIEC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206493

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

KMIEC

Prefix

Business Name

KELLY A KMIEC

Original Issue Date

09/07/2011

Effective Date

09/07/2011

Expiration Date

03/31/2012

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012