KIMBERLY J COBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115150

License Status

NOT RENEWED

Business

First Name

KIMBERLY J

Last Name

COBURN

Business Name

KIMBERLY J COBURN

BusinessDBA

SPARKS KIMBERLY J

Original Issue Date

09/03/1996

Effective Date

09/03/1996

Expiration Date

03/31/1998

City

SPEER

State

Zip

61479

County

STARK

Ever Disciplined

LastModifiedDate

10/17/2005