KEELY MIZENBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258322

License Status

NOT RENEWED

Business

First Name

KEELY

Last Name

MIZENBURG

Business Name

KEELY MIZENBURG

Original Issue Date

06/05/2018

Effective Date

02/28/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021