KATHLEEN PA HERREBOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212823

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

HERREBOUT

Prefix

Business Name

KATHLEEN PA HERREBOUT

Original Issue Date

08/13/2012

Effective Date

08/13/2012

Expiration Date

03/31/2013

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013