KIM D WESTLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092529

License Status

NOT RENEWED

Business

First Name

KIM D

Last Name

WESTLAKE

Business Name

KIM D WESTLAKE

Original Issue Date

03/17/1990

Effective Date

03/17/1990

Expiration Date

03/31/2001

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

10/21/2005