SHANNON KIELBASA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246310

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017