KEVIN M POLONUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132590

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

POLONUS

Business Name

KEVIN M POLONUS

Original Issue Date

09/11/2000

Effective Date

02/13/2013

Expiration Date

03/31/2014

City

PESOTUM

State

Zip

61863

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014