KIMBERLY KAY MCCULLOUGH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165830

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

KAY

Last Name

MCCULLOUGH

Business Name

KIMBERLY KAY MCCULLOUGH

Original Issue Date

12/29/2005

Effective Date

02/14/2011

Expiration Date

03/31/2012

City

MONTICELLO

State

Zip

61856

Ever Disciplined

LastModifiedDate

01/12/2012