KIM CODERKO SPENCER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060940

License Status

NOT RENEWED

Business

First Name

KIM CODERKO

Last Name

SPENCER

Business Name

KIM CODERKO SPENCER

Original Issue Date

02/11/1974

Effective Date

02/11/1974

Expiration Date

01/01/1997

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/17/2005