EDWARD T KIELBASA JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153091

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

KIELBASA

Suffix

Business Name

EDWARD T KIELBASA JR

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

03/31/2006

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006