MARCO N KHIELLA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220952

License Status

NOT RENEWED

Business

Title

First Name

MARCO

Middle

Last Name

KHIELLA

Business Name

MARCO N KHIELLA MD

Original Issue Date

09/19/2013

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/15/2019