KELLY KOUMOUTSOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221757

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

KOUMOUTSOS

Prefix

Business Name

KELLY KOUMOUTSOS

Original Issue Date

11/05/2013

Effective Date

03/02/2015

Expiration Date

03/31/2016

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/20/2016