SHANNON KIELBASA - Pharmacist License in Illinois | # 049246310

SHANNON KIELBASA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246310

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Last Name

KIELBASA

Business Name

SHANNON KIELBASA

Original Issue Date

11/15/2016

Effective Date

11/15/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017