KIM LE MAXA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204716

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

MAXA

Business Name

KIM LE MAXA

Original Issue Date

06/09/2011

Effective Date

06/09/2011

Expiration Date

03/31/2012

City

BURNSVILLE

State

Zip

55306

County

MINNESOTA

Ever Disciplined

LastModifiedDate

05/07/2012