KIMIKO T FONDREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113310

License Status

NOT RENEWED

Business

First Name

KIMIKO

Middle

Last Name

FONDREN

Business Name

KIMIKO T FONDREN

Original Issue Date

02/03/1996

Effective Date

02/03/1996

Expiration Date

03/31/2000

City

MARKHAM

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005