KENNETH R UNDERWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049049416

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

UNDERWOOD

Business Name

KENNETH R UNDERWOOD

Original Issue Date

08/01/1962

Effective Date

03/29/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021