KIMBERLY S PATIENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214971

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

PATIENT

Prefix

Business Name

KIMBERLY S PATIENT

Original Issue Date

12/11/2012

Effective Date

02/11/2014

Expiration Date

03/31/2015

City

BLUE MOUND

State

Zip

62513

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2015