MARY MOE KINGSBURY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031086

License Status

INACTIVE

Business

First Name

MARY MOE

Last Name

KINGSBURY

Business Name

MARY MOE KINGSBURY

Original Issue Date

08/06/1976

Effective Date

03/09/2020

Expiration Date

07/31/2022

City

WANAMINGO

State

Zip

55983

Ever Disciplined

LastModifiedDate

02/28/2022