KENT LAVERNE WATTS - Pharmacist License in Illinois | # 049065532

KENT LAVERNE WATTS

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065532

License Status

CANCELLED

Business

N

First Name

KENT LAVERNE

Last Name

WATTS

Business Name

KENT LAVERNE WATTS

Original Issue Date

06/11/1976

Effective Date

06/11/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005