KIMBERLY LASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244096

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Last Name

LASS

Business Name

KIMBERLY LASS

Original Issue Date

08/18/2016

Effective Date

08/18/2016

Expiration Date

03/31/2017

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/10/2017