KENT LAVERNE WATTS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065532

License Status

CANCELLED

Business

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

City

BRIGHTON

State

Zip

62012

County

JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005