KIM MAE HENNESSY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137439

License Status

NOT RENEWED

Business

First Name

KIM

Middle

MAE

Last Name

HENNESSY

Business Name

KIM MAE HENNESSY

Original Issue Date

07/31/2001

Effective Date

07/31/2001

Expiration Date

03/31/2005

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005