KIMBERLEY A JASUTA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291028

License Status

INACTIVE

Business

First Name

KIMBERLEY

Middle

Last Name

JASUTA

Business Name

KIMBERLEY A JASUTA

Original Issue Date

03/03/2006

Effective Date

01/18/2018

Expiration Date

09/30/2020

City

BROOKSVILLE

State

Zip

34613

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/04/2020