KIMBERLY ELAINE LUTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194640

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ELAINE

Last Name

LUTMAN

Business Name

KIMBERLY ELAINE LUTMAN

Original Issue Date

10/05/2009

Effective Date

04/04/2013

Expiration Date

03/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014