KENNETH BETTENHAUSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065796

License Status

NOT RENEWED

Business

First Name

KENNETH

Last Name

BETTENHAUSEN

Business Name

KENNETH BETTENHAUSEN

Original Issue Date

07/23/1976

Effective Date

07/23/1976

Expiration Date

03/31/1982

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005