KIMBERLY D MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201794

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

MOSS

Prefix

Business Name

KIMBERLY D MOSS

Original Issue Date

12/03/2010

Effective Date

03/02/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023