KENNETH W WILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096998

License Status

NOT RENEWED

Business

First Name

KENNETH W

Last Name

WILEY

Business Name

KENNETH W WILEY

Original Issue Date

05/30/1991

Effective Date

05/30/1991

Expiration Date

03/31/1993

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005