PATRICE L KIRK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204512

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

KIRK

Business Name

PATRICE L KIRK

Original Issue Date

05/31/2011

Effective Date

05/31/2011

Expiration Date

03/31/2012

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012