PATRICE L KIRK - Pharmacist License in Illinois | # 049204512

PATRICE L KIRK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204512

License Status

NOT RENEWED

Business

N

First Name

PATRICE

Middle

L

Last Name

KIRK

Business Name

PATRICE L KIRK

Original Issue Date

05/31/2011

Effective Date

05/31/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012