JUANITA H KINGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067432

License Status

NOT RENEWED

Business

First Name

JUANITA H

Last Name

KINGAN

Business Name

JUANITA H KINGAN

Original Issue Date

06/03/1977

Effective Date

06/03/1977

Expiration Date

01/01/1997

City

HUMBOLDT

State

Zip

61931

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005