DEREK ALLEN KIMBERLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158508

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

ALLEN

Last Name

KIMBERLIN

Business Name

DEREK ALLEN KIMBERLIN

Original Issue Date

12/21/2004

Effective Date

12/21/2004

Expiration Date

03/31/2006

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006