KEVIN RAY WAITE - Pharmacist License in Illinois | # 049061721

KEVIN RAY WAITE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061721

License Status

NOT RENEWED

Business

N

First Name

KEVIN RAY

Last Name

WAITE

Business Name

KEVIN RAY WAITE

Original Issue Date

06/14/1974

Effective Date

06/14/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005