KEVIN SCOTT NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155773

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

SCOTT

Last Name

NELSON

Business Name

KEVIN SCOTT NELSON

Original Issue Date

06/28/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/14/2007