KIMBERLY D MOSS - Pharmacist License in Illinois | # 049138185

KIMBERLY D MOSS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138185

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

D

Last Name

MOSS

Business Name

KIMBERLY D MOSS

Original Issue Date

09/12/2001

Effective Date

09/12/2001

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005