KIMBERLY DARLENE DEPAUW - Pharmacist License in Illinois | # 049128790

KIMBERLY DARLENE DEPAUW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128790

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

DARLENE

Last Name

DEPAUW

Business Name

KIMBERLY DARLENE DEPAUW

Original Issue Date

12/29/1999

Effective Date

12/29/1999

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005