KEVIN LEE CHISM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138499

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

LEE

Last Name

CHISM

Business Name

KEVIN LEE CHISM

Original Issue Date

09/28/2001

Effective Date

09/28/2001

Expiration Date

03/31/2006

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006