ALEXIS INGEBORG KIBGIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119006

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

INGEBORG

Last Name

KIBGIS

Business Name

ALEXIS INGEBORG KIBGIS

Original Issue Date

10/08/1997

Effective Date

10/08/1997

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005