KIMBERLY ANN TYRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163271

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

TYRA

Business Name

KIMBERLY ANN TYRA

Original Issue Date

08/26/2005

Effective Date

03/19/2012

Expiration Date

03/31/2013

City

SOMONAUK

State

Zip

60552

County

DEKALB

Ever Disciplined

LastModifiedDate

05/06/2013