KIMBERLY SHONTAL DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287594

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

SHONTAL

Last Name

DOUGLAS

Business Name

KIMBERLY SHONTAL DOUGLAS

Original Issue Date

11/04/2021

Effective Date

02/12/2023

Expiration Date

03/31/2024

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/03/2025