KIM K PENROD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091559

License Status

NOT RENEWED

Business

First Name

KIM K

Last Name

PENROD

Business Name

KIM K PENROD

Original Issue Date

11/04/1989

Effective Date

11/04/1989

Expiration Date

03/31/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005