KANESHA J BECKOM - Pharmacist License in Illinois | # 049148808

KANESHA J BECKOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148808

License Status

NOT RENEWED

Business

N

First Name

KANESHA

Middle

J

Last Name

BECKOM

Business Name

KANESHA J BECKOM

Original Issue Date

06/12/2003

Effective Date

06/12/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005