KIMBERLY D MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138185

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

MOSS

Business Name

KIMBERLY D MOSS

Original Issue Date

09/12/2001

Effective Date

09/12/2001

Expiration Date

03/31/2003

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005