KENNETH L HUISMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067712

License Status

NOT RENEWED

Business

First Name

KENNETH L

Last Name

HUISMAN

Business Name

KENNETH L HUISMAN

Original Issue Date

07/08/1977

Effective Date

07/08/1977

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005