KIMBERLY K BLAIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093787

License Status

NOT RENEWED

Business

First Name

KIMBERLY K

Last Name

BLAIS

Business Name

KIMBERLY K BLAIS

Original Issue Date

07/14/1990

Effective Date

07/14/1990

Expiration Date

03/31/1992

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005