KIMBERLY DAWN HORN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150617

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

DAWN

Last Name

HORN

Business Name

KIMBERLY DAWN HORN

Original Issue Date

09/17/2003

Effective Date

03/11/2009

Expiration Date

03/31/2010

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/12/2010