KIMBERLY R MAULDIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119286

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

MAULDIN

Business Name

KIMBERLY R MAULDIN

Original Issue Date

11/04/1997

Effective Date

11/04/1997

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005