KIMBERLY SUSAN MANAHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116610

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

SUSAN

Last Name

MANAHAN

Business Name

KIMBERLY SUSAN MANAHAN

Original Issue Date

03/03/1997

Effective Date

03/03/1997

Expiration Date

03/31/1999

City

ONARGA

State

Zip

60955

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/17/2005