KIM M PICKENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062513

License Status

NOT RENEWED

Business

First Name

KIM M

Last Name

PICKENS

Business Name

KIM M PICKENS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005