KIMBERLY ANN BALOTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117030

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BALOTA

Business Name

KIMBERLY ANN BALOTA

Original Issue Date

04/01/1997

Effective Date

04/01/1997

Expiration Date

03/31/1999

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/17/2005