KENDRA L FARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153313

License Status

NOT RENEWED

Business

First Name

KENDRA

Middle

Last Name

FARK

Business Name

KENDRA L FARK

Original Issue Date

02/23/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008