KELVIN DIEP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151785

License Status

NOT RENEWED

Business

First Name

KELVIN

Last Name

DIEP

Business Name

KELVIN DIEP

Original Issue Date

10/21/2003

Effective Date

10/21/2003

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005