KIMBERLY R WALLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125355

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

WALLMAN

Business Name

KIMBERLY R WALLMAN

Original Issue Date

04/08/1999

Effective Date

04/08/1999

Expiration Date

03/31/2006

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006