KENNETH W WYATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130584

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

WYATT

Business Name

KENNETH W WYATT

Original Issue Date

04/18/2000

Effective Date

04/18/2000

Expiration Date

03/31/2004

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005