WAYNE W CLEVENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161384

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

Last Name

CLEVENGER

Business Name

WAYNE W CLEVENGER

Original Issue Date

05/31/2005

Effective Date

05/31/2005

Expiration Date

03/31/2006

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006