DEDRA A KIRBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131425

License Status

NOT RENEWED

Business

First Name

DEDRA

Middle

Last Name

KIRBY

Business Name

DEDRA A KIRBY

Original Issue Date

06/30/2000

Effective Date

06/30/2000

Expiration Date

03/31/2003

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005