KENNETH M BODENHAGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099546

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

BODENHAGEN

Business Name

KENNETH M BODENHAGEN

Original Issue Date

03/03/1992

Effective Date

03/03/1992

Expiration Date

03/31/1998

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005