KEVIN J KOENEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152542

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

KOENEMAN

Business Name

KEVIN J KOENEMAN

Original Issue Date

12/17/2003

Effective Date

12/17/2003

Expiration Date

03/31/2005

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005