KATHLEEN ANN FUNDERBURK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297436

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ANN

Last Name

FUNDERBURK

Business Name

KATHLEEN ANN FUNDERBURK

Original Issue Date

11/05/2022

Effective Date

11/05/2022

Expiration Date

03/31/2023

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

09/07/2023