KIMBERLY M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192967

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

SMITH

Business Name

KIMBERLY M SMITH

Original Issue Date

07/14/2009

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016