KELLY A PIECUCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231577

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

PIECUCH

Business Name

KELLY A PIECUCH

Original Issue Date

03/09/2015

Effective Date

03/24/2021

Expiration Date

05/31/2022

City

NEW LENOX

State

Zip

60451

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022