KELLY ROSE KOLKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211061

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ROSE

Last Name

KOLKA

Business Name

KELLY ROSE KOLKA

Original Issue Date

05/15/2012

Effective Date

02/11/2016

Expiration Date

03/31/2017

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017