KENNETH LANE GIMMY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023402

License Status

INACTIVE

Business

First Name

KENNETH LANE

Last Name

GIMMY

Business Name

KENNETH LANE GIMMY

Original Issue Date

01/01/1997

Effective Date

03/14/2012

Expiration Date

03/31/2014

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

01/09/2014