KEVIN CARL UNDERWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156908

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

CARL

Last Name

UNDERWOOD

Business Name

KEVIN CARL UNDERWOOD

Original Issue Date

08/25/2004

Effective Date

08/25/2004

Expiration Date

03/31/2005

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005