KIM B POLK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139571

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

POLK

Business Name

KIM B POLK

Original Issue Date

12/11/2001

Effective Date

02/16/2010

Expiration Date

03/31/2011

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011