CONNIE L CLEVENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084642

License Status

NOT RENEWED

Business

First Name

CONNIE L

Last Name

CLEVENGER

Business Name

CONNIE L CLEVENGER

Original Issue Date

07/02/1987

Effective Date

07/02/1987

Expiration Date

03/31/1989

City

KEWANEE

State

Zip

61443

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005