REX PENCE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069343

License Status

CANCELLED

Business

First Name

REX

Last Name

PENCE

Business Name

REX PENCE

Original Issue Date

05/12/1978

Effective Date

05/12/1978

Expiration Date

03/31/1984

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005