KENNA SUE FREAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138567

License Status

NOT RENEWED

Business

First Name

KENNA

Middle

SUE

Last Name

FREAD

Business Name

KENNA SUE FREAD

Original Issue Date

10/04/2001

Effective Date

10/04/2001

Expiration Date

03/31/2002

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/06/2005