KEN A KIMBALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040276

License Status

NOT RENEWED

Business

First Name

KEN A

Last Name

KIMBALL

Business Name

KEN A KIMBALL

Original Issue Date

06/20/1995

Effective Date

06/20/1995

Expiration Date

03/31/1998

City

WHEATON

State

Zip

60187

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005