KIMBERLY A COFFEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144298

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

COFFEY

Business Name

KIMBERLY A COFFEY

Original Issue Date

08/23/2002

Effective Date

08/23/2002

Expiration Date

03/31/2003

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005