KIMBERLY LYNN TANSOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155374

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

LYNN

Last Name

TANSOR

Business Name

KIMBERLY LYNN TANSOR

Original Issue Date

06/18/2004

Effective Date

06/18/2004

Expiration Date

03/31/2005

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005