KEN E AMOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140402

License Status

NOT RENEWED

Business

First Name

KEN

Middle

Last Name

AMOS

Business Name

KEN E AMOS

Original Issue Date

01/29/2002

Effective Date

01/29/2002

Expiration Date

03/31/2005

City

BEACH PARK

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005