KIM MARIE DISPENSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075782

License Status

NOT RENEWED

Business

First Name

KIM MARIE

Last Name

DISPENSA

Business Name

KIM MARIE DISPENSA

Original Issue Date

12/29/1981

Effective Date

12/29/1981

Expiration Date

03/31/1984

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005