KIMBERLY ANN BALENTYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082561

License Status

NOT RENEWED

Business

First Name

KIMBERLY ANN

Last Name

BALENTYNE

Business Name

KIMBERLY ANN BALENTYNE

Original Issue Date

05/08/1986

Effective Date

05/08/1986

Expiration Date

03/31/1987

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005