KIMBERLY ANN HAYNES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130403

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

HAYNES

Business Name

KIMBERLY ANN HAYNES

Original Issue Date

04/05/2000

Effective Date

04/05/2000

Expiration Date

03/31/2006

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006