KANESHA J BECKOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148808

License Status

NOT RENEWED

Business

First Name

KANESHA

Middle

Last Name

BECKOM

Business Name

KANESHA J BECKOM

Original Issue Date

06/12/2003

Effective Date

06/12/2003

Expiration Date

03/31/2005

City

BOLINGBROOK

State

Zip

60440

Ever Disciplined

LastModifiedDate

10/20/2005