KIM VERBOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203662

License Status

NOT RENEWED

Business

First Name

KIM

Last Name

VERBOUT

Business Name

KIM VERBOUT

Original Issue Date

04/14/2011

Effective Date

04/14/2011

Expiration Date

03/31/2012

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/07/2012