KENNETH ROBERT WELLER - Pharmacist License in Illinois | # 049157110

KENNETH ROBERT WELLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157110

License Status

NOT RENEWED

Business

N

First Name

KENNETH

Middle

ROBERT

Last Name

WELLER

Business Name

KENNETH ROBERT WELLER

Original Issue Date

09/03/2004

Effective Date

03/17/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012