KIMBERLY REGINA MATHIS - Pharmacist License in Illinois | # 049270012

KIMBERLY REGINA MATHIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270012

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

REGINA

Last Name

MATHIS

Business Name

KIMBERLY REGINA MATHIS

Original Issue Date

12/24/2019

Effective Date

12/24/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021