KIMBERLY G COOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155048

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

COOK

Business Name

KIMBERLY G COOK

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

03/31/2005

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/20/2005