KIMBERLY ANN BLAIR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126050

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BLAIR

Business Name

KIMBERLY ANN BLAIR

Original Issue Date

05/24/1999

Effective Date

05/24/1999

Expiration Date

03/31/2001

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005