KIMBERLY A KOTAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140850

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

KOTAS

Business Name

KIMBERLY A KOTAS

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2003

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005