KERRY J BUCKINGHAM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061645

License Status

CANCELLED

Business

First Name

KERRY J

Last Name

BUCKINGHAM

Business Name

KERRY J BUCKINGHAM

Original Issue Date

06/14/1974

Effective Date

06/14/1974

Expiration Date

01/01/1997

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005