KIMBERLY REGINA MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270012

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021