KIMBERLI RENAE MOULDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108533

License Status

NOT RENEWED

Business

First Name

KIMBERLI RENAE

Last Name

MOULDON

Business Name

KIMBERLI RENAE MOULDON

Original Issue Date

10/19/1994

Effective Date

10/19/1994

Expiration Date

03/31/1996

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005