KIMBERLY A ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272568

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

ANDERSON

Business Name

KIMBERLY A ANDERSON

Original Issue Date

04/10/2020

Effective Date

02/17/2021

Expiration Date

05/31/2022

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022