KIMBERLY A VERCIMAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103168

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

VERCIMAK

Business Name

KIMBERLY A VERCIMAK

Original Issue Date

04/21/1993

Effective Date

04/21/1993

Expiration Date

03/31/1996

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005