KIMBERLY A MANDAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150991

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

MANDAT

Business Name

KIMBERLY A MANDAT

Original Issue Date

09/25/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROSEMONT

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008