KIMBERLY ANN LAZENBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064828

License Status

NOT RENEWED

Business

First Name

KIMBERLY ANN

Last Name

LAZENBY

Business Name

KIMBERLY ANN LAZENBY

Original Issue Date

02/06/1976

Effective Date

02/06/1976

Expiration Date

01/01/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005