PATTI KINGMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072116

License Status

NOT RENEWED

Business

First Name

PATTI

Last Name

KINGMA

Business Name

PATTI KINGMA

Original Issue Date

11/08/1979

Effective Date

11/08/1979

Expiration Date

01/01/1997

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005