KENNETH W WILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058397

License Status

NOT RENEWED

Business

First Name

KENNETH W

Last Name

WILEY

Business Name

KENNETH W WILEY

Original Issue Date

09/06/1972

Effective Date

09/06/1972

Expiration Date

03/31/1982

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005