ADAM J KIELBASA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051297794

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

KIELBASA

Business Name

ADAM J KIELBASA

Original Issue Date

08/13/2014

Effective Date

01/31/2018

Expiration Date

09/30/2020

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021