KIMBERLY R EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206276

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

EVANS

Business Name

KIMBERLY R EVANS

Original Issue Date

08/29/2011

Effective Date

08/29/2011

Expiration Date

03/31/2012

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/07/2012