KEVIN MATTHEW DAUGHERTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131375

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MATTHEW

Last Name

DAUGHERTY

Business Name

KEVIN MATTHEW DAUGHERTY

Original Issue Date

06/28/2000

Effective Date

03/10/2016

Expiration Date

03/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017