KIMBERLY D SISCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109410

License Status

NOT RENEWED

Business

First Name

KIMBERLY D

Last Name

SISCO

Business Name

KIMBERLY D SISCO

Original Issue Date

01/26/1995

Effective Date

01/26/1995

Expiration Date

03/31/1996

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005