KIM R THACKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081905

License Status

NOT RENEWED

Business

First Name

KIM R

Last Name

THACKER

Business Name

KIM R THACKER

Original Issue Date

11/15/1985

Effective Date

11/15/1985

Expiration Date

03/31/1992

City

BRIDGEPORT

State

Zip

62417

County

LAWRENCE

Ever Disciplined

LastModifiedDate

10/17/2005