KENNY ALLEN SHOCKENCY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155859

License Status

NOT RENEWED

Business

First Name

KENNY

Middle

ALLEN

Last Name

SHOCKENCY

Business Name

KENNY ALLEN SHOCKENCY

Original Issue Date

06/29/2004

Effective Date

04/03/2017

Expiration Date

03/31/2018

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

06/19/2018