KIMBERLY ANN STIVANY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061486

License Status

NOT RENEWED

Business

First Name

KIMBERLY ANN

Last Name

STIVANY

Business Name

KIMBERLY ANN STIVANY

Original Issue Date

05/17/1974

Effective Date

05/17/1974

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005