KRISTIN NICOLE KUBOTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177300

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

NICOLE

Last Name

KUBOTA

Business Name

KRISTIN NICOLE KUBOTA

Original Issue Date

06/25/2007

Effective Date

01/14/2014

Expiration Date

03/31/2015

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2015