KIMBERLY J FROMM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120851

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

FROMM

Business Name

KIMBERLY J FROMM

Original Issue Date

04/29/1998

Effective Date

04/29/1998

Expiration Date

03/31/2004

City

SHAWNEETOWN

State

Zip

62984

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/20/2005