REBECCA LYNN KINGMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143486

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

LYNN

Last Name

KINGMA

Business Name

REBECCA LYNN KINGMA

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

03/31/2004

City

FRANKFORT

State

Zip

60423

Ever Disciplined

LastModifiedDate

10/20/2005