DAVID TAE KIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173871

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

TAE

Last Name

KIM

Business Name

DAVID TAE KIM

Original Issue Date

01/24/2007

Effective Date

02/25/2011

Expiration Date

03/31/2012

City

NEWBURGH

State

Zip

47630

Ever Disciplined

LastModifiedDate

05/07/2012