KIMBERLEY A ANDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147408

License Status

NOT RENEWED

Business

First Name

KIMBERLEY

Middle

Last Name

ANDERSEN

Business Name

KIMBERLEY A ANDERSEN

Original Issue Date

03/14/2003

Effective Date

03/14/2003

Expiration Date

03/31/2004

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005