KATHLEEN N FAFENDYK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124199

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

FAFENDYK

Business Name

KATHLEEN N FAFENDYK

Original Issue Date

12/17/1998

Effective Date

02/16/2010

Expiration Date

03/31/2011

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011