KENNETH M LONERGAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069600

License Status

CANCELLED

Business

First Name

KENNETH M

Last Name

LONERGAN

Business Name

KENNETH M LONERGAN

Original Issue Date

06/23/1978

Effective Date

06/23/1978

Expiration Date

01/01/1997

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005