KIMBERLY DAWN FANNING - Pharmacist License in Illinois | # 049125064

KIMBERLY DAWN FANNING

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125064

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

DAWN

Last Name

FANNING

Business Name

KIMBERLY DAWN FANNING

Original Issue Date

03/19/1999

Effective Date

03/19/1999

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005