KEVIN A MACIAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128765

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

MACIAS

Business Name

KEVIN A MACIAS

Original Issue Date

12/29/1999

Effective Date

12/29/1999

Expiration Date

03/31/2004

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/20/2005