KIMBERLY D SIDWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134096

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

SIDWELL

Business Name

KIMBERLY D SIDWELL

Original Issue Date

12/18/2000

Effective Date

12/18/2000

Expiration Date

03/31/2002

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

12/06/2005