KENINE F BRINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061225

License Status

NOT RENEWED

Business

First Name

KENINE F

Last Name

BRINE

Business Name

KENINE F BRINE

Original Issue Date

04/08/1974

Effective Date

04/08/1974

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005