KIMBERLY A HIATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174018

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

HIATT

Business Name

KIMBERLY A HIATT

Original Issue Date

01/30/2007

Effective Date

02/09/2011

Expiration Date

03/31/2012

City

QUINCY

State

Zip

62301

Ever Disciplined

LastModifiedDate

05/07/2012