KIMBERLY DA JANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213707

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

JANSEN

Prefix

Business Name

KIMBERLY DA JANSEN

Original Issue Date

09/25/2012

Effective Date

03/05/2013

Expiration Date

03/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2014