KATIE ANNE IMBURGIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164693

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

ANNE

Last Name

IMBURGIA

Business Name

KATIE ANNE IMBURGIA

Original Issue Date

10/31/2005

Effective Date

10/31/2005

Expiration Date

03/31/2006

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/11/2006