KEVIN RAY WAITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061721

License Status

NOT RENEWED

Business

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

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/17/2005