KENNY J BASIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085050

License Status

NOT RENEWED

Business

First Name

KENNY J

Last Name

BASIL

Business Name

KENNY J BASIL

Original Issue Date

08/15/1987

Effective Date

08/15/1987

Expiration Date

03/31/1991

City

MECHANICSBURG

State

Zip

62545

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005