KIMBERLY A BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199564

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BLACK

Prefix

Business Name

KIMBERLY A BLACK

Original Issue Date

07/23/2010

Effective Date

03/16/2017

Expiration Date

03/31/2018

City

CALHOUN

State

Zip

62419

County

RICHLAND

Ever Disciplined

LastModifiedDate

06/19/2018