KIMBERLEY A ANDERSEN - Pharmacist License in Illinois | # 049147408

KIMBERLEY A ANDERSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147408

License Status

NOT RENEWED

Business

N

First Name

KIMBERLEY

Middle

A

Last Name

ANDERSEN

Business Name

KIMBERLEY A ANDERSEN

Original Issue Date

03/14/2003

Effective Date

03/14/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005