KIMBERLY D MASSENBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149812

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

MASSENBURG

Business Name

KIMBERLY D MASSENBURG

Original Issue Date

08/14/2003

Effective Date

08/14/2003

Expiration Date

03/31/2005

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005