DIANE S KIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167585

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

KIM

Business Name

DIANE S KIM

Original Issue Date

04/11/2006

Effective Date

02/17/2010

Expiration Date

03/31/2011

City

ARLINGTON HEIGHTS

State

Zip

60004

Ever Disciplined

LastModifiedDate

05/12/2011