KIMBERLY DAWN FANNING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125064

License Status

NOT RENEWED

Business

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

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005