KIMBERLY LASHAWN PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142684

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

LASHAWN

Last Name

PHILLIPS

Business Name

KIMBERLY LASHAWN PHILLIPS

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005