KIMBERLY J GORHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094752

License Status

NOT RENEWED

Business

First Name

KIMBERLY J

Last Name

GORHAM

Business Name

KIMBERLY J GORHAM

Original Issue Date

10/12/1990

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017