KENNETH L CORUM JR Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066844

License Status

CANCELLED

Business

First Name

KENNETH L

Last Name

CORUM JR

Business Name

KENNETH L CORUM JR

Original Issue Date

02/25/1977

Effective Date

02/25/1977

Expiration Date

01/01/1997

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005