JACKYE ELIZABETH KIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145641

License Status

NOT RENEWED

Business

First Name

JACKYE

Middle

ELIZABETH

Last Name

KIM

Business Name

JACKYE ELIZABETH KIM

Original Issue Date

11/04/2002

Effective Date

11/04/2002

Expiration Date

03/31/2004

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/20/2005